Navigation Links
Dearth of Data on Capabilities May Be Hurting ER Care

Day-to-day emergencies require coordination similar to trauma system, expert says

THURSDAY, March 19 (HealthDay News) -- Though most Americans live within an hour of an emergency medical facility, chances are it's not one that can save them when time is of the essence, a new study has found.

The study in the Annals of Emergency Medicine reported that when time is a critical issue in a medical crisis, as is the case with a heart attack or stroke, the nearest facility is not always the best to handle the situation. The dispersal of the U.S. population and a lack of knowledge about the capabilities of individual hospitals make the situation even graver.

"In those life-threatening emergencies, we must blindly rely upon the system to rapidly deliver us to the care that we need," Dr. Brendan Carr, an assistant professor of emergency medicine and epidemiology at the University of Pennsylvania School of Medicine and lead author of the study, said in a news release from the school. "If we knew what services were provided where, we could design a system that would do that for patients everywhere in the country."

People in rural areas seem most at risk of receiving inadequate care in an emergency situation, in part because they generally are not near hospitals that treat great numbers of patients. Studies have shown that hospitals with higher patient volume tend to have better patient outcomes, in part because they have more personnel, specialized equipment and other resources.

For example, Carr's study found that just half of the people living in Maine and Vermont live within an hour of an emergency department that treats at least three patients an hour. In Montana, just 8 percent of the residents have ready access to a higher-volume facility.

The study, conducted with the national Emergency Medicine Network, based at Massachusetts General Hospital, also found that less than half of U.S. residents are within an hour of a teaching hospital. Teaching hospitals tend to offer more sophisticated treatments and have sub-specialists on staff.

Carr, the associate director of Penn's emergency care policy and research division, said it would help if a system were set up so that victims of time-sensitive conditions could skip the closest facility for one that meets the person's specific needs -- similar to the system now in use nationwide for trauma victims. That would first require the capabilities and resources of all U.S. hospitals to be put into a central database, he said.

"We know that hospitals think every day about how to improve the care they give their patients, but those discussions are siloed, largely taking place only in individual hospitals," Carr said. "A truly comprehensive emergency care system, however, needs to be built from a population health perspective, with groups of EMS [emergency medical service] providers and hospitals thinking collaboratively about how to provide the best emergency care to their region."

Improving rural care, he said, might also require such things as increased hospital funding and incentives for doctors to practice at more remote facilities.

More information

The American College of Emergency Physicians has more on issues in emergency medicine.

-- Kevin McKeever

SOURCE: University of Pennsylvania, news release, March 17, 2009

Copyright©2009 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Sparta Systems Strengthens TrackWise(R) Enterprise Class Quality Management Solution with Robust Web Services Capabilities
2. PAREXEL Consulting Enhances European Regulatory Affairs Capabilities With Appointment of Medical Products Agency Expert Dr. Anders Neil
3. Big Arrow Group Expands Global Capabilities with Addition of Anne de Schweinitz
4. Compass Pharma Services Offers Microfill Capabilities to Contract Pharmaceutical Packaging Customers
5. Dilon Technologies Slant15(TM) and LEHR Collimators Enhance Imaging Capabilities
6. PRA Expands Capabilities to Execute Multinational Trials in Asia
7. IPA 7 Introduces Unique Contextual Search and Analysis Capabilities
8. M2S, Inc. Acquires DXA Resource Group; Expands Core Capabilities in Clinical Trial Image Management
9. Pharmaceutical and Health Care Experts to Detail Cost-Cutting Capabilities of Secure Digital Signatures
10. Cadient Group Expands Award-Winning Capabilities with Key New Hires
11. Relsys International Launches the Pharmacovigilance Integrated Services Offering and Significantly Expands Project Delivery Capabilities
Post Your Comments:
Related Image:
Dearth of Data on Capabilities May Be Hurting ER Care
(Date:6/25/2016)... Austin, TX (PRWEB) , ... June 25, 2016 , ... ... Fellow of the American College of Mohs Surgery and to Dr. Russell Peckham for ... popular and highly effective treatment for skin cancer. The selective fellowship in Mohs Micrographic ...
(Date:6/25/2016)... , ... June 25, 2016 , ... First Choice ... States, named Dr. Sesan Ogunleye, as the Medical Director of its new Mesquite-Samuell Farm ... Medical Director of our new Mesquite location,” said Dr. James M. Muzzarelli, Executive Medical ...
(Date:6/25/2016)... ... ... On Friday, June 10, Van Mitchell, Secretary of the Maryland Department of Health and ... their exemplary accomplishments in worksite health promotion. , The Wellness at Work Awards took ... the BWI Marriott in Linthicum Heights. iHire was one of 42 businesses to receive ...
(Date:6/24/2016)... ... 24, 2016 , ... Those who have experienced traumatic events may suffer from ... avenues, such as drug or alcohol abuse, as a coping mechanism. To avoid this ... coping following a traumatic event. , Trauma sufferers tend to feel a range of ...
(Date:6/24/2016)... ... 2016 , ... The Pulmonary Hypertension Association (PHA) learned during ... two significant new grants to support its work to advance research and patient ... recognizing patients, medical professionals and scientists for their work in fighting pulmonary hypertension ...
Breaking Medicine News(10 mins):
(Date:6/26/2016)... Story Highlights: ... the health care industry is causing providers to review ... Deloitte offers a suite of solutions for health care ... cost optimization: labor resource analysis, revenue cycle optimization and ... outcomes and better economics ...
(Date:6/24/2016)... Dublin ... of the " Global Markets for Spectroscopy Equipment" ... This report focuses on the global ... including its applications in various applications. The report deals ... three main industries: pharmaceutical and biotechnology, food and beverage, ...
(Date:6/24/2016)... , June 24, 2016 Research ... World Market for Companion Diagnostic Tests" report to their ... Market for Companion Diagnostics The World Market ... and personalized medicine diagnostics. Market analysis in the report includes ... Test Market (In Vitro Diagnostic Kits) by Region (N. America, ...
Breaking Medicine Technology: