EMTALA, adjusted for inflation (via E. Shaw)

Feds Increase EMTALA Penalties against Physicians and Hospitals

The Office of Inspector General recently doubled the potential monetary penalty for violations of EMTALA, added a new physician decision-making scenario subject to the penalty, and modified the factors considered in determining the amount of the penalty.


Robert A. Bitterman, MD, JD
Emergency Physicians Monthly
October 17, 2017


The Emotional Fallout From the Culture of Blame and Shame (JAMA Peds via W. Paolo)

The Emotional Fallout From the Culture of Blame and Shame.
Ferguson CC.
JAMA Pediatr.
Published online October 09, 2017.

Oxygen Therapy in Myocardial Infarction (From NEJM via G Johnson)

Oxygen Therapy in Suspected Acute Myocardial Infarction.
Hofmann R
N Engl J Med. 2017 Sep 28;377(13):1240-1249. doi: 10.1056/NEJMoa1706222. Epub 2017 Aug 28.
At Publisher: http://www.nejm.org/doi/full/10.1056/NEJMoa1706222
Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/28844200

Is Oxygen Therapy Beneficial in Acute Myocardial Infarction? Simple Question, Complicated Mechanism, Simple Answer.
Loscalzo J.
N Engl J Med. 2017 Sep 28;377(13):1286-1287. doi: 10.1056/NEJMe1709250. Epub 2017 Aug 28.
At Publisher: http://www.nejm.org/doi/full/10.1056/NEJMe1709250
Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/28844195

Journal Club Articles, 9/27/2017

Recommendations on pre-hospital & early hospital management of acute heart failure: a consensus paper from the Heart Failure Association of the European Society of Cardiology, the European Society of Emergency Medicine and the Society of Academic Emergency Medicine
Eur J Heart Fail. 2015 Jun;17(6):544-58. doi: 10.1002/ejhf.289. Epub 2015 May 21.
PMID: 25999021
DOI: 10.1002/ejhf.289
Free full text: http://onlinelibrary.wiley.com/doi/10.1002/ejhf.289/epdf


Time-to-Furosemide Treatment and Mortality in Patients Hospitalized With Acute Heart Failure
J Am Coll Cardiol. 2017 Jun 27;69(25):3042-3051. doi: 10.1016/j.jacc.2017.04.042.
PMID: 28641794
DOI: 10.1016/j.jacc.2017.04.042
Full text through Upstate library: http://www.sciencedirect.com/science/article/pii/S0735109717373229/pdfft?md5=894a2cf8db8139d8e439e867746b7baf&pid=1-s2.0-S0735109717373229-main.pdf

Journal Club Articles for 9/13/2017

(Via Ted Albright)

Gastroesophageal variceal hemorrhage.
Sharara AI, Rockey DC.
N Engl J Med. 2001 Aug 30;345(9):669-81.
PMID: 11547722
DOI: 10.1056/NEJMra003007
Full Text PDF


A Multicenter Evaluation of Adherence to 4 Major Elements of the Baveno Guidelines and Outcomes for Patients With Acute Variceal Hemorrhage.
Tapper EB, Friderici J, Borman ZA, Alexander J, Bonder A, Nuruzzaman N, Ramdass S, Ghaoui R.
J Clin Gastroenterol. 2017 Jul 19. doi: 10.1097/MCG.0000000000000820. [Epub ahead of print]
PMID: 28644316
DOI: 10.1097/MCG.0000000000000820
Full Text PDF (through Upstate Library)