The Effect Of Free-Standing Emergency Departments

The Effect Of Free-Standing Emergency Departments

Freestanding emergency departments can provide emergency care in locations not immediately served by emergency departments contained in a hospital and in theory, this should improve access to healthcare, particularly in rural areas.  However, there are hidden costs of freestanding emergency departments that can lower the overall value of healthcare in the community. Beginning in 2004, […]

Timing Of Hip Fracture Surgery

Timing Of Hip Fracture Surgery

How we practice medicine in the United States is often dictated by quality metrics established by Medicare and The Joint Commission. Our hospitals often focus on monitoring these publicly reported metrics but there are others that deserve equal attention, even though they are not publicly reported. One of these is the time between when a […]

Disaster Drill Management

This week, our city staged a mass-casualty disaster drill. In preparing for it, I found that there is very little written about the medical director’s responsibilities in disaster preparation. The scenario was this: terrorists explode bombs at Mapfre stadium (home to the Columbus Crew professional soccer team) and John Glenn Airport then attack civilians with guns. […]

Found Down With A Needle In The Arm

“39 yo female presented in cardiac arrest after being found down with needle in her arm. Multiple epinephrine and Narcan given prior to arrival with no ROSC. Resuscitation continued briefly with PEA on monitor and patient was pronounced dead.” Every week, we review all deaths in the hospital. One of our quality nurses summarizes each case […]