Echocardiogram reading by cardiologists needs to improve

by Crystal Phend

Insufficient training among cardiologists in reading echocardiography results is wasting healthcare dollars and subjecting patients to unnecessary procedures, researchers said.

A review by sonographers of cardiologist-interpreted echocardiography findings at a Milwaukee medical center during a period of just over a year indicated major discrepancies in 29% of cases, leading to unnecessary further diagnostic testing or treatments for the wrong indication, according to a study presented here at the American …

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Free clinics need more government funding

by Cole Petrochko

The nation’s free clinics provide medical service to 1.8 million patients annually — more than half of those clinics operate without government funding and serve patients who are almost all uninsured — according to the first census of free clinics in 40 years.

Responses to a national mail survey by 764 free clinics in the U.S., reported in the June issue of the Archives of Internal Medicine, revealed that …

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Supplemental oxygen during cardiac arrest resuscitation

by Michael Smith

Administering high concentrations of supplemental oxygen during resuscitation after cardiac arrest is associated with increased inhospital mortality, researchers said.

So-called blood hyperoxia resulting from being given pure oxygen after cardiac arrest was associated with an 80% increase in the risk of death, compared with patients whose blood gases were normal on admission to the intensive care unit (ICU), according to Stephen Trzeciak, MD, of Cooper University Hospital in Camden, …

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Patient handoff video that every medical intern needs to see

Patient handoffs increase the risk of medical errors.

As I wrote recently in USA Today, as residency hours are restricted, more of these handoffs will take place. It’s imperative that this source of error be minimized.

Vineet Arora, associate director at the University of Chicago’s Internal Medicine residency, is one of the nation’s authorities on patient handoffs. She recently made a video for the incoming interns about the …

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