Emergency Physicians Emerge as Healthcare ’s Management Specialists

We have always been clinicians, but modern emergency physicians have also become the most skilled managers in the healthcare system. It’s time we capitalize on those talents and proactively learn from the management industry. History’s great achievers—Napoleon, da Vinci, Mozart—have always managed themselves. That, in large measure, is what made them great, according to Peter F. Drucker, father of modern management theory. This principle is especially relevant to emergency medicine today. The founders of our specialty and the wave of emergency physicians that followed them have carved us a unique position in the house of medicine. We have reached a stage where managing our specialty and its next steps carefully are critical to great achievement. It is hard to imagine that less than 35 years ago we did not have primary board status with the American Board of Medical Specialties. At that time, other specialties questioned whether emergency physicians offered truly unique skills. They suggested that our skill set was merely a partial collection of those of several different specialties. However, the skills to intubate a patient in respiratory failure, resuscitate a neonate, diagnose and treat a heart attack, and deliver a baby do not by themselves an emergency physician make. It is the ability to lead a team successfully through simultaneous medical, surgical, psychiatric, and social emergencies while managing the clinical and administrative activities of...
Source: EPMonthly.com - Category: Emergency Medicine Authors: Tags: Uncategorized Source Type: news

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RARITAN, NJ, March 28, 2020 – The Janssen Pharmaceutical Companies of Johnson &Johnson today announced the VOYAGER PAD study met its primary efficacy and principal safety endpoints, demonstrating the XARELTO® (rivaroxaban) vascular dose (2.5 mg twice daily) plus aspirin (100 mg once daily) was superior to aspirin alone in reducing the risk of major adverse limb and cardiovascular (CV) events by 15 percent in patients with symptomatic peripheral artery disease (PAD) after lower-extremity revascularization, with similar rates of TIMI[1] major bleeding. VOYAGER PAD is the only study to show a significant benefit...
Source: Johnson and Johnson - Category: Pharmaceuticals Tags: Innovation Source Type: news
RARITAN, N.J., March 20, 2020 – The Janssen Pharmaceutical Companies of Johnson &Johnson announced today that it will unveil late-breaking data from its leading cardiovascular and metabolism portfolio during the virtual American College of Cardiology’s 69th Annual Scientific Session together with the World Congress of Cardiology (ACC.20/WCC) on March 28-30, 2020. Notably, four late-breaking abstracts for XARELTO® (rivaroxaban) will be presented, including data from the Phase 3 VOYAGER PAD study in patients with symptomatic peripheral artery disease (PAD) after lower-extremity revascularization.Click to ...
Source: Johnson and Johnson - Category: Pharmaceuticals Source Type: news
When most people think about E coli, the first thing that comes to mind likely is eating tainted food or as a result of improper handwashing. What came as a surprise to me was that it can also show up as a UTI (Urinary Tract Infection) caused by kidney stones that back up in the urethra, which prohibits the flow of urine. It is more than an academic exercise that had me researching this all too common condition in men and women. As I am writing, I am less than 24 hours post-surgery to remove these pesky critters that have been backing up the works since 2014. It was my fourth go around that culminated in a cystoscopy,...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Health-related Personal caregiving Source Type: blogs
By HANS DUVEFELT, MD Healthcare today, in the broadest sense, is not a benevolent giant that wraps its powerful arms around the sick and vulnerable. It is a world of opposing forces such as Government public health ambitions and more or less unfettered market ambitions by hospitals and downright profiteering by some of the middlemen who stand between doctors and patients, such as insurers, Pharmacy Benefits Managers, EMR vendors and other technology companies. Within healthcare there is also a growing, more or less money-focused sector of paramedicine, promoting “alternative” belief systems, some of which...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Medical Practice Physicians Primary Care Hans Duvefelt Healthcare system Source Type: blogs
Cardiologists now say “no” to baby aspirin, fish oil and warn that younger women should be aware of greater death risk if they do have a heart attack. Also, beware the switch to daylight saving time.
Source: Washington Post: To Your Health - Category: Consumer Health News Authors: Source Type: news
Publication date: Available online 17 December 2019Source: Indian Heart JournalAuthor(s): Mohan M. Edupuganti, Vyjayanthi GangaAbstractAcute myocardial infarction during pregnancy is a very uncommon condition; atherosclerotic coronary artery disease is by far the most common cause of an acute coronary syndrome in the general population. The causes of an acute coronary syndrome in the pregnant patient are wide and varied. This has important implications with respect to the diagnosis of the etiology and the subsequent management of the cause of the acute coronary syndrome. There are a number of diagnostic tools for the diagn...
Source: Indian Heart Journal - Category: Cardiology Source Type: research
Publication date: Available online 17 December 2019Source: Indian Heart JournalAuthor(s): Mohan M. Edupuganti, Vyjayanthi GangaAbstractAcute myocardial infarction during pregnancy is a very uncommon condition, atherosclerotic coronary artery disease is by far the most common cause of an acute coronary syndrome in the general population. The causes of an acute coronary syndrome in the pregnant patient are wide and varied. This has important implications with respect to the diagnosis of the etiology and the subsequent management of the cause of the acute coronary syndrome. There are a number of diagnostic tools for the diagn...
Source: Indian Heart Journal - Category: Cardiology Source Type: research
(University of Georgia) Taking a baby aspirin every day to prevent a heart attack or stroke should no longer be recommended to patients who haven't already experienced one of these events.
Source: EurekAlert! - Medicine and Health - Category: International Medicine & Public Health Source Type: news
Unless you have been living in a cave, chances are you have heard of bold, brazen and bodacious hip hop artist Lizzo (a.k.a. Melissa Jefferson), who hails from Detroit, Michigan. Her musical journey took her to Houston to study classical flute and then to Minneapolis where Prince gave her a boost by having her record on one of his albums. She has skyrocketed to the top of the charts and inspires people to live with passion. In a recent interview on the NPR show Fresh Air, Terry Gross discussed the artist’s lean toward body positivity. As a woman of size, Lizzo quite emphatically talks about how she grew to be comfort...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Eating Disorders Exercise & Fitness Health-related Personal body acceptance Body dysmorphia body positivity Source Type: blogs
Abstract Acute myocardial infarction during pregnancy is a very uncommon condition; atherosclerotic coronary artery disease is by far the most common cause of an acute coronary syndrome in the general population. The causes of an acute coronary syndrome in the pregnant patient are wide and varied. This has important implications with respect to the diagnosis of the etiology and the subsequent management of the cause of the acute coronary syndrome. There are a number of diagnostic tools for the diagnosis of coronary artery disease but it is important to understand their role in pregnant patients. Spontaneous corona...
Source: Indian Heart J - Category: Cardiology Authors: Tags: Indian Heart J Source Type: research
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