There has been endless talk, debate, and disagreements on the ACA and its effect on medicine, but we are now starting to see numbers on how the legislation is changing ED volumes. In this episode, we talk about the numbers and what they are saying.
I realize that it is out of vogue to keep score in some youth sports, but in medicine, it can determine the next course of action and even disposition of the patient. Appendicitis is a common and high risk diagnosis in the ED and there are several scoring methods that have attempted to put Pandora back in her box. In this episode, we discuss some of the scoring methods and the research that scores the score.
Recently all of the CMS billing data was released. The public now has access to how mch we received for care we provided for that population. Initially, the response from physicians has been defensive and from the media, shock on the payments to a few outlier providers. Unfortunately, this is the new way of life for out practices as more and more information is made public. In this episode, we talk about the release and why it may not be a bad thing, as long as the data is applied in context.
It is a kneejerk reflex in emergency medicine to order IV fluids for rehydration. I think we assume that any level of illness that requires and ER visit, probably will take more than oral hydration. Unfortunately, this is not the case. More and more research is demonstrating the benefit of oral rehydration when able for our patients. It saves time, money, and patient discomfort.
As the landscape of medicine changes, we must look at new and innovative ways to keep patients healthy, get them the care they need, and preserve the healthcare dollar. One method that has demonstrated success has been community paramedicine. It's the modern day house call. In this episode, we talk about paramedicine and how it may help your community.