Mass Casualty Incident Reality
I’ve been to a few mass casualty incidents over the years. They have ranged in severity and acuity from a large group of bored teenagers with chemical eye irritation to an active shooter in a crowded school. One lesson I’ve learned is that the real events never look or feel anything like the mock training scenarios that we often create for training purposes. Real disasters tend to present challenges that we just can’t account for in mock scenarios. This makes the lessons learned at real MCI scenes incredibly valuable. Recently, I was able to listen to Dr. Jonathan Apfelbaum MD, one of our local ER physicians, t...
Source: The EMT Spot - November 7, 2022 Category: Emergency Medicine Authors: Steve Whitehead Tags: EMT Source Type: blogs

Sunday Sermonette: Deja vu of deja vu
I didn ' t want to steal Yogi ' s line. Chapter 19 is once again a near copy of a chapter from 2 Samuel, in this case Chapter 10, but with some details altered. For example, in Samuel the Ammonites hired 30,000 Syrian soldiers, whereas here they hire 32,000 chariots. I cannot explain the discrepancies, or for that matter why the Chronicler feels the need to reproduce these stories in the first place. Of course, the numbers involved in these battles, and the numbers David ' s army kills, are preposterous. As I ' ve said before, if David existed he was chieftan of a few small towns, not a kingdom that could muster tens of th...
Source: Stayin' Alive - November 6, 2022 Category: American Health Source Type: blogs

Wednesday Bible Study: Deja vu
Chapter 18 is pretty much a copy of 2 Samuel 8, but as usual with some discrepancies in details. Whether this is because the Chronicler was working from a different copy of Samuel than the one that became canonized, or whether it was sloppy transcription on his part, there ' s no telling. The details aren ' t very important -- 700 horsemen vs. 7,000, of Abiathar and Abimelech which was the son and which was the father? The point is, always keep in mind, there wasn ' t any printing press. All of this stuff was copied out by hand, and discrepancies were presumably commonplace. Both of these may be accidental, but some are in...
Source: Stayin' Alive - November 2, 2022 Category: American Health Source Type: blogs

Bonus Features – October 30, 2022 – 46% of Americans have gone into debt paying medical bills, 41% say retail and virtual care experiences are disjointed, and more
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Because there’s so much happening out there in healthcare IT we aren’t able to cover in our full articles, we still want to make sure you’re informed of all the latest news, announcements, and stories happening to help you better do your job. News and Studies A survey from digital health platform Babylon found that 46% of Americans have gone into debt from their medical bills, while 34% are currently struggling to pay their medical and insurance bills. In addition, ...
Source: EMR and HIPAA - October 30, 2022 Category: Information Technology Authors: Brian Eastwood Tags: Ambulatory C-Suite Leadership Communication and Patient Experience Health IT Company Healthcare IT Hospital - Health System LTPAC Revenue Cycle Management Altus Amazon Amazon Healthcare Aspen RxHealth athenahealth AtlantiCare B Source Type: blogs

Sunday Sermonette: Hit the snooze button
 No post yesterday, I ' ve been thinking deep thoughts. I may post on a relatively small issue later today.Chapter 17 is consistent with the story in Samuel -- God says David won ' t build the Temple but his son will -- but Chronicles is exceedingly long-winded about the matter. Again, this probably comes from much older source material which has been lost. It goes on tediously and says very little, so I will say no more.17 After David was settled in his palace, he said to Nathan the prophet, “Here I am, living in a house of cedar, while the ark of the covenant of theLord is under a tent. ”2 Nathan repli...
Source: Stayin' Alive - October 30, 2022 Category: American Health Source Type: blogs

These 8 Countries Could Put Together The World ’ s Most Advanced Healthcare System
If we are looking for the one thing common in the healthcare systems in various countries, is that no one has ever been truly satisfied with their own. The level of satisfaction/dissatisfaction of course varies widely between countries and is closely related to the economic performance and possibilities available for the given country in the past centuries/decades. But as we will see, with having focus and working for the right goals, it is possible to fully transform a country and its healthcare in just a few decades. Can we, dreaming freely, come up with the perfect system? There are so many good examples all over the...
Source: The Medical Futurist - October 27, 2022 Category: Information Technology Authors: Andrea Koncz Tags: Future of Medicine Science Fiction e-patient Healthcare healthcare design digital technology health IT healthcare system longevity digital health technologies Future of healthcare patient inclusion Source Type: blogs

The Macro View – Health, Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
October 27, 2022 Edition-----In the UK we have a political farce running with only a day or so to run when you read this, with a new PM (Rishi Sunak) in place..In the US the mid-term elections are coming in a week or so, thus some concern as to where the US is going!In China Xi has his third 5 year term so we all wonder how that will turn out!In OZ we have has a Budget with floods, inflation, data leaks, the threat of recession, Medicare concerns and other issues just rolling on! At least the Budget does not seem to have broken anything!Overall an ‘omnishambles’ as they say!-----Major Issues.-----https://www.afr.com/wo...
Source: Australian Health Information Technology - October 27, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Wednesday Bible Study: Hit song
As far as I can tell, Chapter 16 has no real basis in Samuel.  I doubt that it ' s actually original, but the source material has been lost. This shows the Chronicler ' s usual obsession with lists of meaningless names, but the main act is a song. Now seems as good a time as any to mention that the Book of Psalms is traditionally attributed  to David, but that ' s nonsensical. It was compiled centuries after his death, if he ever existed. Presumably this song reflects theology at the time Chronicles was written, probably in the 4th Century BCE, in the Second Temple period. I ' ll just make a couple of points...
Source: Stayin' Alive - October 26, 2022 Category: American Health Source Type: blogs

Including Standardized Patients With Diverse Gender Identities in Simulation Cases
On this episode of the Academic Medicine Podcast, guests Luca Petrey and Laura Weingartner, PhD, MS, join hosts Toni Gallo and Research in Medical Education (RIME) Committee members Arianne Teherani, PhD, and Daniele Olveczky, MD, to discuss a new scoping review of the literature on the inclusion of standardized patient characters and actors with diverse gender identities in simulation cases. This is the second episode in this year’s 3-part series of discussions with RIME authors about their medical education research and its implications for the field. This episode is now available through Apple Podcast...
Source: Academic Medicine Blog - October 24, 2022 Category: Universities & Medical Training Authors: amrounds Tags: AM Podcast AM Podcast Transcript Academic Medicine podcast gender identity health equity medical education Research in Medical Education RIME simulation standardized patients Source Type: blogs

Sunday Sermonette: Now for something completely different
While the previous chapter was basically lifted from Samuel, this one is not. 2 Samuel 6 tells of David bringing the Ark to Jerusalem, but the accompanying details in Chronicles are not in Samuel at all. We see the Chronicler ' s obsessive interest in lists of names here, but also an interest in orthodoxy. The idea that only the Levites can carry the Ark is not in Samuel, but it ' s a major emphasis here. Samuel also lacks all of the details about the musicians and the music. On the other hand this version very much downplays Micah ' s displeasure at seeing David dance. It ' s briefly mentioned at the end but not expl...
Source: Stayin' Alive - October 23, 2022 Category: American Health Source Type: blogs

Weekly Overseas Health IT Links – 22nd October, 2022.
Here are a few I came across last week.Note: Each link is followed by a title and few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment-----https://mhealthintelligence.com/news/partnership-to-add-virtual-primary-care-feature-to-smart-tvsPartnership to Add Virtual Primary Care Feature to Smart TVsTelehealth provider HealthTap has partnered with Samsung to add a virtual healthcare feature to the tech giant ' s Smart TVs to expand access to primary care.ByMark MelchionnaOctober 14, 2022 - Aiming to ...
Source: Australian Health Information Technology - October 22, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Wednesday Bible Study: A twice-told tale
 Ch. 14 is largely lifted from 2 Samuel 5, although it skips a lot. Basically it skips ahead to verse 13 of 2 Samuel 5, leaving out the fact that David already had a whole lot of wives and concubines. The reason for the Chronicler ' s selective lifting from Samuel isn ' t clear, but in general he seems to be trying to clean up David ' s image. In case you ' ve forgotten, the David of Samuel is one horrible son of a bitch. On the other hand, why the Chronicler felt the need to reprint this in the first place is equally unclear. To make it easy on you, I ' m going to provide the matching passages from Samuel after this....
Source: Stayin' Alive - October 19, 2022 Category: American Health Source Type: blogs

Sunday Sermonette: Jumping Ahead
As we have seen, the Chronicler has no interest in chronological order. He ' s wandering through time and space. Now he jumps ahead from David ' s years as a guerilla leader to the early years of his kingship, skipping entirely over the theft of the Ark by the Philistines, its recovery (a tale involving golden hemorrhoids, as you may recall), and David ' s ascension to the throne, to David ' s decision to move the Ark to Jerusalem fromKiriath Jearim, where it happened to land after the Philistines sent it back. This chapter is largely derived from 2 Samuel 6, either with some light rewriting, or based on an alternative ver...
Source: Stayin' Alive - October 16, 2022 Category: American Health Source Type: blogs

Wednesday Bible Study: Unstuck in Time
One norm of story telling that doesn ' t interest the Chronicler is chronological order. First he told us about the return from Babylon, then he abruptly jumped back centuries to the death of Saul, without any warning. Now he jumps back in time again to the period when David was a pretender to the throne and hiding out with a guerilla band. Modern story tellers may certainly use flashbacks but they also have some way of helping us keep track. If you didn ' t already know the story, you would be hopelessly confused by now.While Chapter 12 is not inconsistent with Samuel, unlike previous material it evidently has a different...
Source: Stayin' Alive - October 12, 2022 Category: American Health Source Type: blogs

Weekly Australian Health IT Links – 10 October, 2022.
Here are a few I have come across the last week or so. Note: Each link is followed by a title and a few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.General Comment-----Lots of stuff this week – with Optus still causing trouple-----https://www1.racgp.org.au/newsgp/professional/doh-releases-30-20-rule-fact-sheetDoH releases 30/20 rule fact sheetThe new telehealth compliance measure came into effect on 1 October, despite calls to delay its implementation.The 30/20 rule limits the number of MBS it...
Source: Australian Health Information Technology - October 10, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs