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December 2015 Briefing – Emergency Medicine

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Here are what the editors at HealthDay consider to be the most important developments in Emergency Medicine for December 2015. This roundup includes the...
Physician burnout is the top issue for physicians in 2015

AMA: Burnout Is Top Issue for Physicians in 2015

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More than half of docs report at least one symptom of burnout; efforts being undertaken to address burnout
Patients with a nonfatal opioid overdose are almost always prescribed opioids after overdose

After Nonfatal Overdose, Most Patients Prescribed More Opioids

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Cumulative incidence of repeated overdose 17 percent for those receiving high doses after overdose
From 2001 to 2009 there was an increase in childhood asthma prevalence

Increase in Child Asthma Has Ceased Overall, but Not for Poor

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Increase in prevalence from 2001 to 2009, which plateaued then decreased in 2013
There is still considerable variation in hospital policies for the determination of brain death

Criteria for Determining Brain Death Differ by Hospital

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Improvement seen with AAN practice parameters, but significant variability still exists
For patients with ST-segment elevation myocardial infarction undergoing percutaneous coronary intervention

History of CABG Linked to Reperfusion Delays in STEMI

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Patients with previous CABG have lower likelihood of door-to-balloon time of ≤90 minutes
Prices at hospitals in monopoly markets are 15 percent higher than those at hospitals in areas with at least four providers

Higher Hospital Prices in U.S. ‘Monopoly Markets’

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Hospital prices positively associated with indicators of hospital market power
Patients with sudden cardiac arrest frequently have warning symptoms

Many Ignore Warning Symptoms Before Sudden Cardiac Arrest

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Survival significantly higher for patients who call emergency services in response to symptoms
In order to prevent denials

Specific, Consistent ICD-10 Coding Key to Timely Payments

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Tips to prevent denials include checking EHR selection against documentation, being specific
Men who have sex with men who have abstained from sex for one year will now be allowed to donate blood in the United States. The new policy

FDA Lifts Ban on Blood Donations by Men Who Have Sex With Men

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National blood surveillance system will help agency ensure safety of the blood supply