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Surgeons Investigate Modified Pain Management Strategies To Reduce Opioid Use In Trauma Patients
A team of surgeons is working to identify the most effective strategy to treat acute pain after injury while minimizing the amount of opioids prescribed to trauma patients, building on a previous project that decreased use of the highly addictive class of drugs by 40 percent.
John A. Harvin, MD, MS, associate professor in the Department of Surgery at McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth), is leading the comparative effectiveness clinical trial at the Red Duke Trauma Institute at Memorial Hermann-Texas Medical Center, where he is an attending trauma surgeon.
“In 2013, we started prescribing an opioid-minimizing treatment strategy as a first-line pain regimen and prescribing opioids only as needed,” said Harvin, the principal investigator of the study. “Since then, we have changed the culture of acute pain management by setting rea
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Heart Attack Patients Receive Super Fast Treatment
Loyola Medicine has received the American College of Cardiology's Platinum Performance Achievement award for providing superior care to heart attack patients.
It takes a median of just 54 minutes from the time a paramedic first contacts a patient until the patient is brought to Loyola and an emergency balloon angioplasty is performed. This is among the shortest times in the country. Loyola's medical contact-to-balloon time is 18 minutes faster than the 50th percentile for all hospitals and eight minutes faster than the 90th percentile.
Loyola's groundbreaking Heart Attack Rapid Response Team (HARRT) is on site at Loyola University Medical Center 24 hours a day seven days a week. Any time of day, the team is available to stop a potentially fatal heart attack by performing an angioplasty, which opens a blocked coronary artery. The team includes two cardiologists, two nurses and a cardiov
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Otherwise Healthy And Think You Have The Flu? Avoid The Emergency Room
The Centers for Disease Control reports that influenza activity in the United States is now widespread and likely to increase.
As the country enters the height of flu season, University of Alabama at Birmingham medical caregivers want to remind the public that, if you are normally a healthy person who is experiencing flu-like symptoms — high fever, muscle or body aches throughout the body, exhaustion, and loss of appetite — do not go to the emergency department.
“If you have all of those classic flu-like symptoms, it’s really best to either see or call your primary care provider or visit an urgent care clinic,” said Stephen Russell, M.D., associate professor of internal medicine and pediatrics at the UAB Medicine-Leeds clinic. “Most healthy adolescents and adults without chronic illnesses can be treated quickly and most effectively this way, and it won’t put a strain on city and commu
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Traffic Fatalities On A High After Cannabis Legalization
Monash University research examined the effect of recreational cannabis sales (RCS) on traffic fatalities in three US states where it was legalised -- Colorado (legalised 2014), Washington (2014), and Oregon (2015), and nine neighbouring jurisdictions from 2009-2016.
The researchers looked at the number of additional deaths each month after legalisation, and found there was on average one additional traffic fatality per million residents, in comparison to states that had not changed cannabis laws. The increase was temporary, seeming to last for about a year following legalisation. The combined population of affected areas is 27 million people, suggesting an additional 170 deaths in the first six months after legalisation.
But the study reported the spill over effects to be slightly larger in neighbouring states and provinces, particularly those with population centres closest to the bo