Understanding trauma: Yale physicians on bias in the ER
When third-year Yale emergency resident physician Dr. Isaac Agboola writes in the Annals of Emergency Medicine about the problem of bias in the emergency department, it’s a matter of personal as well as professional interest. As one of the few Black male physicians in his class of more than 60 residents, and the first in his family to attend college and pursue medicine, Agboola says he feels a unique responsibility to represent Black patients who are brought in for treatment. The article, “The Coats That We Can Take Off And the Ones We Can’t,” written by Agboola and co-authored by two assistant professors of emergency medicine, Dr. Ambrose H. Wong and Dr. Edouard Coupet, examines how bias influences emergency department treatment, particularly decisions over which patients must be restrained and/or sedated.Source: YaleNews
Hospitals seeing ‘a previously unimaginable shift’ due to COVID-19—are patients afraid to seek medical attention?
As COVID-19 continues to keep healthcare providers busy, fewer patients appear to be seeking care for other serious issues, including cardiovascular complications such as heart attack and stroke.Source: Cardiovascular Business
Obtaining health care in the appropriate setting is crucial for older patients
The 3-day rule prevents timely and coordinated care for older adults needing rehabilitation, which often places older patients in the inappropriate setting for the care they need, in order to avoid excess out-of-pocket costs and ensure coverage.Source: The Hill
ED Patient Restraints Foster Healthcare Distrust
Patients with behavioral disorders who were physically restrained in the emergency department reported distrust in the healthcare system and psychological distress. The patients reported a desire for more compassionate and therapeutic engagement during their visits. The findings highlighted that patient-centered approaches might be needed in the emergency department to minimize harm and decrease negative consequences associated with being physically restrained. Ambrose Wong, MD, MSEd, and colleagues interviewed 25 adults who were physically restrained during an emergency department visit. The investigators found 3 major themes from the interviews: harmful experiences of restraint use and care provision, diverse and complex personal contexts affecting visits to the emergency department, and challenges in resolving their experiences which resulted in worsened well-being.Source: MD Mag
DEM physician Edouard Coupet discusses binge drinking concerns on WTNH
The investigation into the death of a Southern Connecticut State University student is ongoing. The police suspect alcohol may have been involved. This may have parents worried about their child drinking on campus. Dr. Edouard Coupet, a Yale Medicine Emergency Medicine Doctor, tells parents what they need to know.Source: wtnh.com
Yale Investigators' Lead Grant Awarded as Part of the NIH HEAL Initiative on Opioids
Dr. Gail D’Onofrio, Professor of Emergency Medicine and Public Health and Dr. David Fiellin, Professor of Medicine, Emergency Medicine and Public Health are lead investigators in a $25.5 Million study being conducted by the National Drug Abuse Treatment Clinical Trials Network’s New England Consortium Node.
Study Reaches Multidisciplinary Consensus on Imaging for Kidney Stones
A multidisciplinary group of researchers conducted a systematic review of the scientific literature and engaged in a structured consensus process to determine scenarios where CT scans could be avoided in the diagnosis of renal colic.
Preliminary Estimates: Motor Vehicle Deaths Projected to Dip Below 40,000 for First Time Since 2015
Preliminary estimates from the National Safety Council indicate the four-year upward trend in motor vehicle deaths that began in 2015 is ebbing, with the number of fatalities in the first six months of 2019 dropping 3% compared to the same six-month period in 2018. An estimated 18,580 people died on U.S. roadways between January and June of this year, compared to the Council’s revised estimate of 19,060 during the same period last year. An additional 2.1 million people are estimated to have sustained serious crash-related injuries during the first six months of 2018 – a 1% drop from 2018 six-month projections.Source: National Safety Council - In the News Room
Yale Expert Delivers Talk at White House on Role of Addiction Specialists in Hospitals
On June 25, Yale School of Medicine’s Dr. Jeanette Tetrault spoke at a convening of the President’s Opioid Commission and the Office of National Drug Control Policy. The purpose of the meeting was to discuss the steps needed to build a national addiction medicine workforce and give Americans access to the care they need. Her talk, which focused on the role of addiction medicine specialists in emergency departments (EDs), was part of a congressional briefing sponsored by the American College of Academic Addiction Medicine.
How to keep teen drivers’ eyes on the road, and their fingers off the keyboard
Most of us know that using our phones while driving is bad, yet a lot of us do it anyway. I’m guilty myself, much too often. So are a lot of teenagers, who are still inexperienced on the road. About 60 percent of teen car crashes involve distracted driving.Source: WHYY.org
Della-Giustina Receives Prestigious ACGME Parker J. Palmer Courage to Teach Award
The Department of Emergency Medicine is excited to announce that David Della-Giustina, MD, FACEP, FAWM, Program Director of Emergency Medicine Residency, was recently honored with The Parker J. Palmer Courage to Teach Award from the Accreditation Council for Graduate Medical Education (ACGME).