The American Academy of Pediatrics and the American College of Physicians both called on Congress to promptly act on gun legislation, which includes restricting assault weapons, to curb gun violence in the wake of a mass shooting event in Florida, which killed 17 youths and adults and injured at least 14 others. The AAP is also advocating for improved background checks, firearm trafficking solutions and safe firearm storage, as well as ensuring access to appropriate mental health services for children and their families, AAP President Dr. Colleen Kraft said in a statement.
A CDC study in the agency's Morbidity and Mortality Weekly Report showed that 39% of middle- and high-school students reported using e-cigarettes because their friends or family members used them, while nearly one-third cited the availability of various flavors and 17% tried e-cigarettes because they thought they were less harmful than other types of tobacco. The findings should prompt FDA regulation of tobacco products, as well as continued implementation of tobacco control and prevention strategies to curb e-cigarette use and initiation among youths, researchers wrote.
Men and women who were 2 inches taller than average at age 7 had about an 11% lower risk of developing ischemic stroke in adulthood, Danish researchers reported in the journal Stroke. The findings also showed an 11% lower likelihood of hemorrhagic stroke among men who were taller as children, but not women.
The CMS changed evaluation and management rules so that while teaching physicians still will have to perform or reperform physical exams and handle evaluation and management decision-making, they can just verify a medical student's EHR documentation of them instead of doing redocumentation. The agency said the decision is part of its effort to reduce administrative burdens facing physicians.
A $29.2 million plan to create a new neuroscience center at Abbott Northwestern Hospital in Minneapolis includes 13 neuro-intensive care beds and 43 step-down and general neurology beds, putting all levels of neurology care together. The ICU and step-down unit currently are in different buildings.
The emergency medical response to this week's mass shooting at a Florida high school may have been influenced by policies developed after similar events that saw bystanders helping victims before first responders arrived and highlighted the issue of deadly bleeding. "All of us have revised approaches to supply distribution, triage, and patient distribution over the past two years because of lessons learned from active shooter incidents that are fast-moving critical incidents," said emergency medical technician-paramedic A.J. Heightman, editor of the Journal of Emergency Medical Services.
Penn Medicine's new Center for Connected Care is one of the largest telehealth hubs in the US. It includes the Penn E-lert ICU, a program to link obstetricians to trauma surgeons to care for critically injured pregnant women, virtual urgent care services and an at-home telehealth program for patients with chronic illness.
A study in JAMA Internal Medicine found 70% of 228 nursing home residents were eligible for palliative care, but only two were in hospice and none was receiving consultative palliative care. Researcher Caroline Stephens said the patients lack palliative care services and clinicians available to provide them.
A model called HELP that combines technology with candid conversations can help patients transition to end-of-life care and control costs, writes registered nurse Whende Carroll, director of Nursing Informatics at KenSci. HELP includes having a conversation with patients and using predictive analysis in assessing patient prognosis.
Shary Farr holds workshops at the Hospice Giving Foundation in Monterey, Calif., about writing end-of-life love letters to family and friends. "I think each and every one of us wants to leave love behind, no matter what," Farr said.