The Real Emergency: Will Florida Follow georgia In Medical Malpractice Reform?

With the high increased costs of insurance premiums and advances in medicine, tort reform has become a rising area of conflict in the law.1 States are found in conflict with the high costs of insurance while at the same time protecting an individual’s rights to seek just compensation in the la

An Educational Module of the Effect of Improved/Increased Training of Anesthesia Providers on Adherence to Difficult Airway Algorithms and Successful Performance of a Cricothyrotomy

Airway complications, including those that may be caused by the inability to maintain oxygenation, are major causes of anesthesia-related injury and death. Difficult intubation rates are relatively high with even higher associated complication rates. The success rate for cricothyrotomy procedures is also inappropriately low. Research has found that a lack of experience and/or insufficient training possibly plays a role in the low success rate and increased incidence of airway complication-associated morbidity and mortality. The purpose of this study is to assess current training and confidence levels in practitioners as well as to evaluate the impact of improved training, sustained training or interval training. The primary methodology of the related educational project administered an online educational intervention to anesthesia providers that focused on difficult airway situations and algorithms. A survey was used as a pre-test and posttest to assess CRNA knowledge of airway emergencies. Overall, the results show that there was a difference from pre-test to post-test. There was an increase in knowledge for most questions. Since CICO situations and emergency cricothyrotomies are rare, independent work experiences are vital in order to preserve appropriate provider awareness and abilities. Improving the standard of difficult airway management, CICO guidelines, and cricothyrotomy efficiency training is expected to boost provider ability and confidence, resulting in less deviations from the DAA and hesitancy during CICO situations, as well as lower anesthesia-related morbidity and mortality, hospital costs, and duration of stay

Non-Contact Femoral Fracture in a Collegiate Football Player

We present a unique athletic injury witnessed by the primary investigator who was compelled to convey the details of the incident to other Certified Athletic Trainers. This case is presented to increase awareness and ensure proper recognition, evaluation, and treatment of this potentially life-threatening injury

Severe Heat Cramps in a High School Football Player: A Case Report

We present a case study of an adolescent football player who suffered from severe full body muscle cramping after supplementing with creatine for two months. A paucity of data exists regarding the safety of creatine supplementation and its side effects on dehydration, body fluid/electrolyte balance, and other heat illnesses

Risk identification and assessment in a risk based audit environment: the effects of budget constraints and decision aid use

Risk based audit (RBA) approaches represent a major trend in current audit methodology. The approach is based on risk analysis used to identify business strategy risk. The RBA has created a new set of research issues that need investigation. In particular, this approach has important implications for risk identification and risk assessment. The success of the RBA approach is contingent on understanding what factors improve or interfere with the accuracy of these risk judgments. I examine how budget constraints and decision aid use affect risk identification and risk assessment. Unlike previous budget pressure studies, I cast budget constraints as a positive influence on auditors. I expect more stringent budget constraints to be motivating to the auditor as they provide a goal for the auditor to achieve. I also expect budget constraints to induce feelings of pressure leading to the use of time-pressure adaptation strategies. When auditors have use of a decision aid, they take advantage of these motivational goals and/or use beneficial adaptive strategies. Overall, I find that auditor participants tend to be more accurate when identifying financial statement risks compared to business risks. Budget constraints have no effect on risk identification for financial or business risks; they also have no effect on financial risk assessments. On the other hand, business risk assessments are improved by implementing more stringent budget constraints, but only when a decision aid is also provided. Budget constraints can affect performance through a goal theory route or a time-pressure adaptation route. I investigate the paths through which budget constraints improve business risk assessments under decision aid use. I find that budget constraints directly affect performance, supporting a goal theory route. However, I do not find that budget constraints are mediated by perceived budget pressure as expected. Auditors appear to use a positive adaptive strategy to respond to perceived budget pressure, however perceived budget pressure is not induced by providing a more stringent budget

Thriving for Individuals with Disabilities: Towards a Collective Model in Midland County, Michigan

Midland County, Michigan, is a progressive community in which positive psychology contributes to the flourishing of its citizens. They have formed a Steering Committee consisting of numerous organizations that serve people living with disabilities. The purpose of this project was to develop a collective model of success for individuals with disabilities that would enable agencies supporting this population to effectively partner and build flourishing for this community. This project identified four key pillars that support thriving for individuals with disabilities: character strengths, self-determination, mattering, and belonging. Through a series of 15-minute workshops facilitated by a Steering Committee member, they will understand the construct of each pillar, have the opportunity to practice specific interventions in their personal and professional lives, and develop ways to implement the key concepts within their agencies to serve the individuals with disabilities

Abortion-related attitudes and practice among physicians in New Mexico: has medical abortion increased access?

Abortion-related attitudes and practice among physicians in New Mexico: has medical abortion increased access? Objective: Although New Mexico does not have some of the harsh restrictions imposed on abortion found in other states, but access is still limited due to the lack of providers. Another study was conducted in 2001, just after FDA approval of medical abortion with mifepristone. This follow-up study aims to examine whether access to abortion in New Mexico has changed since the approval and to identify the current demographics of abortion providers, attitudes about abortion, and barriers to providing terminations. Methods: A self-administered questionnaire was mailed to all OB/GYNs and an equivalent number of randomly selected family physicians currently practicing in New Mexico. Questions assessed demographics and attitudes toward abortion. A sample size of N=400 was projected to provide a power of 80% and detect a 15% difference (alpha=.05) with a response rate of 50%. Data was analyzed utilizing Chi square. Results: Family practice and OB/GYN providers\u27 attitudes and practice patterns are similar to those observed in 2001. Twenty-two abortion providers were identified (3 FP and 19 OB/GYN) similar to data in 2001. Statistically significant barriers for family practice physicians remain lack of training, lack of ultrasound equipment/experience, and concern for complications with lack of surgical backup. OB/GYNs cite personal belief as their primary barrier. There has been an increase in the number of providers of medical abortion in the state since the FDA approval of mifepristone (p=0.0397. Approximately 16% of respondents received CME in the use of mifepristone since 2000. Conclusion: This study provided insight into the current practices and barriers to providing abortion in New Mexico. We recommend continued efforts to increase access to abortion training in residencies, increased awareness about abortion to ensure that patients are receiving accurate information and appropriate referral, and continued allocation of resources to provide CME training in mifepristone. Supported in part by the University of New Mexico School of Medicine and The University of New Mexico Hospital Department of OB/GYN

Propuesta de Guía de Procedimientos Estándar de Operación de un Departamento de Farmacovigilancia en la Industria Farmacéutica, basados en el apartado IV de la Guía de Evaluación de Buenas Practicas de Farmacovigilancia emitida por la Dirección Nacional de Medicamentos

El objetivo principal del presente trabajo de investigación fue la creación de una Guía con los Procedimientos Estándares de Operación requeridos para realizar las actividades de un departamento de Farmacovigilancia en la industria farmacéutica. Para la elaboración de estos procedimientos se tomó como referencia la Guía de inspección de Farmacovigilancia de la Dirección Nacional de Medicamentos, la cual establece en el apartado IV de dicha guía los procedimientos operativos necesarios que debe tener un departamento para cumplir con las Buenas Prácticas de Farmacovigilancia. Con la información obtenida se creó la Guía de procedimientos Estándar de Operación de farmacovigilancia, que consta de 14 procedimientos operativos con el interés que la Industria Farmacéutica promueva las actividades de farmacovigilancia. El no cumplimiento con las Buenas Practicas de Farmacovigilancia aún no es sancionable en el país, pero se recomienda a la industria farmacéutica su implementación antes de que llegue a ser exigible y sancionable