Recently I came across an interesting news piece that reported on a published research article documenting an unusually high rate of injuries requiring prehospital and emergency room utilization as a result of a Tough Mudder competition. You can find the actual article published in the Annals of Emergency Medicine here. For those of you who are unfamiliar, the Tough Mudder race (similar to others like the Spartan Race, etc.) is an extreme obstacle course competition open to pretty much anyone who wants to participate. But unlike other physically demanding activities like marathons and triathalons, participants often fail to train properly prior to the event – in fact many join viewing it as the occasional fun weekend activity with a team of friends (yes, some call running through 10,000V of electrical wires and jumping down 15+ feet fun).
The results of the study made me wonder about the effect these events (which some would argue are voluntarily “high risk” activities) have on our public healthcare system, especially in light of our current wait times situation; each acute orthopedic injury requiring surgery, for example, would potentially bump/delay someone else who’s been suffering in pain and off work for months on a waiting list for an elective hip or knee replacement. Does that seem entirely fair and reasonable? I posed this question on Facebook – and unsurprisingly, opinions are quite split and polarized.
Guest post by Vicki Meyouhas.
“They don’t put boring people on reality TV” responded by husband when I said that MTV should have cast me, or one of my many intelligent, responsible and ethical nurses to star in their new reality TV show ‘Scrubbing In’.
He didn’t mean to offend me, of course, but there was a lot of truth to it. I doubt the buzz, the ratings and sought-after viewers would have responded quite the same to a boring (maybe stable and normal is a more fitting term) nurse on her time off. Just imagine the scene, a nurse finishing her shift, commuting home (perhaps on her bicycle for the added excitement?) getting dinner ready, maybe doing a load of laundry, maybe ironing some scrubs, having dinner with her husband, reviewing the mundane details of their respective days, finishing it all off with an episode of How I Met Your Mother. No, this would not get MTV ratings, and that is exactly why they cast who they did.
Guest post by James Worrall.
Why is there so much suffering that we cannot explain?
Asked another way, why are there so many symptoms and so few diagnoses?
As an emergency physician, I see many patients who arrive at the hospital with chest pain, abdominal pain, numbness of the extremities, or other potentially worrisome complaints, and yet no cause is found. In fact, I estimate that we only make a diagnosis in one of ten patients with chest pain. When the patient asks me, “What’s causing this pain, doctor?” how am I to respond?
Ever wonder how much a country spends on healthcare as a result of going to war? It is not just the costs associated with the actual wartime period. Rather, they extend much longer beyond – and at an exponential rate that may surprise you.
The folks at MBA Healthcare Management have put together an interesting infographic to highlight just how much the U.S. (which is already the world’s greatest healthcare spender by a long shot) is allocating as a result of recent wars and conflicts. Check it out!
I was recently asked for an opinion on an article that was published on LinkedIn, boasting “the virtual ER is here today, saving time and money“. Could this really be true? When a patient is facing a medical emergency, can he/she really access an emergency room virtually, without the wait while lowering overall cost to the system at the same time?
Sounds too good to be true.
What would you prefer your doctor to be wearing when examining and treating you or your loved ones? Most would likely reply with something along the lines of “it doesn’t really matter, as long as they are competent and do a good job“.
Except it does matter, apparently. So much so that there have been hospital/nation-wide policies surrounding the issue, and a recent surge in publications studying this phenomenon – some of them hinting at the possibility that patients do care a great deal, even if they don’t consciously know it.
Remember back in the days when patients were constantly reminded to turn off their analog cell phones while in the hospital or the doctor’s office? The reasons given at that time were mostly related to possible interference with medical equipment, contribution to a noisy and disrespectful environment, and patient privacy issues.
Today, advanced smartphones and portable tablets have become so ubiquitous, it is not uncommon to see patients (and healthcare workers alike!) constantly using their portable devices throughout the hospital. We have gradually softened our stance against the use of cellular devices – but are there new issues that we have failed to address adequately?
Roy Romanow, the former Saskatchewan premier, planted the seed for the formation of the Health Council of Canada (HCC) in 2004. The idea was to have a national body that will monitor and report on health dollars transfers from the federal government to the provinces. In a healthcare system fragmented into 14 pieces, the HCC was promoted as the duct tape that will hold the system together; the vehicle through which we can move towards a truly national healthcare, guiding health professionals, administrators, and patients alike.
Too bad most of us have never even heard of the HCC; never knew of its work or effects over the past 9 years; and will likely not miss it at all when it is to be disbanded next year.
The bombing of innocents at the Boston Marathon will forever be remembered alongside similar tragedies such as 9/11, not only for the resulting gruesome injuries and deaths that’s been engraved into our minds by the media, but for the sheer shock of witnessing something so unfathomable actually happening in reality.
But as shocking as it was, the local healthcare response was surprisingly prompt, efficient, and effective. What we witnessed in the immediate aftermath of those 2 deadly bombs exploding, was a clear demonstration of several important learning points for the rest of us.