Working Level I Trauma It could be the snap of a bitterly cold January morning, or the flames from a horrifying Christmas morning fire. It could be the screams and shock of another school shooting that surprises a sleepy, rural community in anywhere USA.…
How do we get it right/How does it impact Healthcare Costs “I think your patient is dead!” I was in the middle of admitting my 13th patient for the evening on a hectic medical surgical ortho neuro hospital unit, when I heard that phrase.…
The news reports during the week of October 3, 2016, stated that Hurricane Matthew, which had just caused widespread destruction in the Caribbean, was moving up the coast and was headed straight toward the state of Florida, where I was employed as a nurse navigator…
Ready . Set . Action: At 8:55 a.m. on a beautiful August morning, congregants of the Holy Order of Advocates for Xenon (HOAX) are touring a potential site for an expansion of their church. Suddenly, several explosions occur from possible terrorist action. The bombing…
Sutter Health speeds up response times and lowers mortality Sutter Health in Northern California knew sepsis was a concern. Of the patients who died in its hospitals, 48% had some kind of sepsis, the No. 1 killer of hospital inpatients in this country (Sutter…
Although October is domestic violence awareness month, this crucial topic should be at the forefront of everyone’s minds all year. At the TRENDS Critical Care Nursing conference earlier this month, one of the speakers touched on how such violence impacts the community, and how…
The Rapid Response/Sepsis Innovations Team at MedStar Washington Hospital Center in Washington, D.C., consists of nurses, physicians, and information systems specialists who are part of MI2, our Corporate Innovations group. By providing a better way to identify, qualify and quantify patients who are in…
In the United States, roughly 1 in 4 adults has a diagnosable mental disorder and between 5% and 7% of adults have severe mental illness.1 Among those with the most severe conditions, fewer than half received outpatient treatment, with the treatment rate dropping to less…
Head trauma emergencies are common across the country. More than 1.5 million patients suffer a TBI each year. The incidence is steadily rising and the ramifications can be life threatening.1,2 Whether the trauma is physical assault, car crash or personal injury, the primary brain…
This article appeared Sept. 24 in the online edition of ADVANCE. References 1. Haydel M. Management of mild traumatic brain injury in the emergency department. Emergency medicine practice. Sep 2012;14(9):1-24. 2. CDC. TBI data & statistics. Injury prevention & control: Traumatic brain injury 2014; http://www.cdc.gov/TraumaticBrainInjury/data/index.html. Accessed July 30, 2014. 3.…