Articles Posted in Emergency Medicine

cmsseemav-150x150Nursing homes and other long-term care facilities now account for around 62,000 coronavirus deaths, 42% of the country’s total. So how is it possible that, months into the pandemic, owners and operators keep failing to fix well-known infection-control basics, like mixing healthy and infected residents and allowing poorly paid staffers to work at multiple facilities, carrying the disease from each to each?

On a side note, is it any comfort to frightened nursing home residents and outraged loved ones that Seema Verma, the nation’s chief regulator of long-term facilities, has obsessed, with taxpayer money, of course, on her image and public relations — spending on girls’ night bashes and face time with well-heeled patrons in her own party?

The independent, nonpartisan Kaiser Health News service deserves credit for piecing together various information sources to raise significant questions about not only nursing homes and long term care facilities but also hospitals and the care giving institutions’ infection-control procedures — notably whether, with all medical science knows now about Covid-19, facilities appropriately separate and isolate individuals with coronavirus diagnoses from others uninfected.

abusedrugs-300x200The Covid-19 pandemic has complicated the already difficult efforts to combat substance abuse: New reports affirm how opioid abuse and drug overdoses are soaring, and vaping, while showing favorable declines for the first time in years, also may be creating a hard-core group of nicotine-addicted young people.

With powerful painkillers, the Wall Street Journal reported:

“Counties in states spanning the country, from Washington to Arizona and Florida, are reporting rising drug fatalities this year … This follows a likely record number of deadly overdoses in the U.S. last year, with more than 72,000 people killed, according to federal projections.”

bobwbook-209x300Some fictional scenarios to contemplate:

  • What would happen to a military leader who was briefed and admitted to knowing of severe threats but downplayed them, resulting over a few months to the United States seeing its Indo-Pacific and European Commands wiped out — combined losses of roughly 180,000 in U.S. forces?
  • How would the governor of Maryland be treated if he was told of a public works problem but belittled it and in less than a year the cities of Columbia, Bethesda, and Annapolis and all the people in them were destroyed?

fballhelmet-237x300Although many fans will be sad that football won’t dominate their lives as it usually does in the months after Labor Day, the pandemic-related constriction, postponement, and cancellation of so many prep and collegiate sports may have an upside: It likely will add to declines in the need for urgent care for dangerous and damaging head injuries.

Public awareness has soared about the risks of such trauma, with preventive measures leading to a sharp dip in the emergency department visits for sports- and recreation-related injuries to children and adolescents, federal researchers have found.

Their study for the Centers for Disease Control and Prevention was based on data from the National Electronic Injury Surveillance System–All Injury Program from 2001 to 2018. Early in that time period, young people’s ED trips peaked at “411 per 100,000 youths aged 17 years or younger in 2012 before declining by 32% to 299 per 100,000 by 2018,” journalist Bridget M. Kuehn wrote in an online article for the Journal of the American Medical Association.

atlas-218x300The Trump Administration — yet again — has sowed confusion, frustration, and anger over the federal response to the Covid-19 pandemic, creating potentially harmful credibility issues for a prospective coronavirus vaccine, the scientific concept of “herd immunity,” a possible blood-based treatment for the illness, as well as testing, contact tracing, and quarantines for the disease.

The White House follies would be considered bad farce, save for the reality that the U.S. death toll races toward 200,000 and infections have skyrocketed past 6 million. The U.S. has 22 percent of the world’s Covid death toll, but only 4 percent of the world’s population.

With schools reopening, infections, hospitalizations, and deaths among children are on the rise.

marylandlogo-300x177It turns out there is more to be said about Maryland’s recently completed, pandemic-related checks on hundreds of nursing homes and long-term care facilities.

Three facilities, indeed, got expensive rebukes from state inspectors, but dozens more were hit with milder fines that also suggest widespread issues in the institutions, notably with the crucial concern of infection control.

In contrast to the Washington Post’s previous coverage of the sizable fines for Collingswood Rehabilitation and Healthcare Center ($275,000) and Potomac Valley Rehabilitation and Healthcare Center ($120,000), and Kensington Healthcare Center ($294,000), the Baltimore Sun said it, too, had obtained Maryland records indicating:

cdcredfield-150x150fdahahn-150x150What the White House wants, it apparently will get — even if that hangs out to dry the prized nonpartisan reputations of the Federal Food and Drug Administration  and the Centers for Disease Control and Prevention.

The political meddling and leadership errors at two of the nation’s premier health agencies, critics say, will have disconcerting effects on the nation’s well-being, notably on science- and evidence-based efforts to combat the toll of the Covid-19 pandemic.

Those numbers keep soaring and changing almost as fast as they can be typed: 180,000-plus Americans have been killed by novel coronavirus, which also has infected more than 5.9 million of us in a little more than half a year.

demattos-150x150Maryland officials have wrapped up pandemic-prompted inspections of 226 nursing homes with a pricey rebuke to long-term care facilities that have failed still to safeguard the elderly, sick, and injured from Covid-19, putting them at “immediate jeopardy,” instead.

Three facilities were slapped with six-figure fines after state inspectors faulted them in June and July for improperly isolating potentially contagious residents, including new admissions: Collingswood Rehabilitation and Healthcare Center ($275,000) and Potomac Valley Rehabilitation and Healthcare Center ($120,000), and Kensington Healthcare Center ($294,000).

Inspectors also asserted that a patient died at Potomac Valley after a nurse failed to provide basic life support, and the Washington Post reported, based on state data, that “at least 78 residents from the three facilities have died since the spring of Covid-19 … and more than 270 have been infected with the virus.”

chapelhill-300x169If the young are the nation’s future, they are getting a sorry eyeful now of how not to deal with widespread death and disease, uncertainty, and inequity. What will kids say years from now about how parents and politicians handled young folks’ schooling during the Covid-19 pandemic?

The student journalists at the University of North Carolina (photo, right) captured in one vulgar term the shambolic response, labeling it a “cluster—” you-know-what.

That reaction summarized the anger and frustration as leading institutions of higher education, including UNC and Notre Dame re-opened, got thousands of young people sort of settled in, and then abruptly shut down, sending them packing and switching to online learning. The universities did so after coronavirus cases on campus exploded.

cdcredfield-150x150The Covid-19 pandemic, with grim outcomes already, may get even worse in the days ahead.

That troubling forecast — from one of the nation’s less-than-outspoken medical leaders (Dr. Robert Redfield, right, head of the federal Centers for Disease Control and Prevention) and as laid out in a seasoned journalist’s detailed reporting — may seem hard to take for already coronavirus-fatigued Americans.

The warnings, however, come atop even more alarms about the disease’s unchecked spread and the hard-to-fathom responses to it.

Patrick Malone & Associates, P.C. listed in Best Lawyers Rated by Super Lawyers Patrick A. Malone
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