With nearly 50 million outpatient surgeries performed in the U.S. each year and the increasingly complex nature of the procedures, patients need to know several important details when having surgery without an overnight stay in the hospital. Here's what you need to know and do to reduce the risks associated with any surgery.
Every day nearly 200 people die from an overdose of drugs or from alcohol poisoning, with opioids responsible for the majority. Recognizing the signs and knowing how to respond to medical emergencies, including carrying and administering naloxone in cases of opioid overdose, can literally save lives. Here are tips from the American Society of Anesthesiologists (ASA) on what to do in case of a suspected overdose.
(BPT) - Every day nearly 200 people die from an overdose of drugs or from alcohol poisoning, with opioids responsible for the majority. Recognizing the signs and knowing how to respond to medical emergencies, including carrying and administering naloxone in cases of opioid overdose, can save lives, says the American Society of Anesthesiologists (ASA).
“The tragic increase in overdose deaths is an alarming and devastating issue that touches so many of us,” said ASA President Mary Dale Peterson, M.D., MSHCA, FACHE, FASA. “If you can identify an overdose or alcohol poisoning, you are more likely to react quickly, making the difference between life and death for a family member, friend or stranger.”
Physician anesthesiologists have a critical role in fighting against overdoses, starting with managing patients’ pain after surgery or chronic pain in responsible ways. During Physician Anesthesiologists Week, Jan. 26-Feb. 1, ASA is joining forces with U.S. Surgeon General VADM, Jerome Adams, M.D., M.P.H., to empower everyone to recognize the following signs of an overdose or alcohol poisoning:
Any one of these signs should prompt a call to 911 for emergency medical care. Never leave an unconscious person alone, as they may be at risk of dying, including by choking on his or her own vomit. If an opioid overdose is suspected, naloxone should be administered immediately, if available. Naloxone is administered by injection or nasal spray and access to it is expanding on a state-by-state basis. It can be prescribed by a physician and often is carried by police officers and emergency medical responders. Additionally, it’s increasingly available over the counter at some pharmacies.
“To stem the tide of the opioid overdose epidemic, we need everyone to consider themselves a first responder. We need to encourage everyone in our communities to carry naloxone and know how to use it,” said U.S. Surgeon General, VADM, Jerome M. Adams, M.D., M.P.H., a physician anesthesiologist who issued a Surgeon’s General’s advisory in 2018 calling for increased awareness and use of the medication. “When on hand, naloxone may mean the difference between life and death, and can be a first step to getting someone onto the pathway of recovery.”
Anyone who takes opioids to manage their pain may be at-risk for an overdose. In recent years, opioids were the go-to pain reliever for everything from backaches and injuries to post-surgical and chronic pain. In 2017, more than 190 million prescriptions were written for opioids. While they can be effective for short-term pain, chronic use can lead to abuse. Every day 130 people die from opioid overdoses, according to the Centers for Disease Control and Prevention.
“ASA strongly agrees with the Surgeon General and supports policies that promote access to naloxone and safe and effective pain management care,” said Dr. Peterson. “All of our members have a significant interest in reducing misuse, abuse and diversion of opioids that have led to unintended deaths.”
To learn more about the critical role physician anesthesiologists play before, during and after surgery, visit asahq.org/WhenSecondsCount. ASA also offers an opioid overdose resuscitation guide that provides guidance on symptoms of an overdose and how to help.
Heart disease, cancer, unintentional injuries, chronic lower respiratory disease and stroke. These top five causes of death in the United States all have a higher incidence of death among rural residents and research points to lack of access to health care as a culprit. Consider these challenges and solutions facing rural Americans.
Health Care Solutions for Rural Americans
(Family Features) Heart disease, cancer, unintentional injuries, chronic lower respiratory disease and stroke. These top five causes of death in the United States all have a higher incidence of death among rural residents and research points to lack of access to health care as a culprit.
According to the University of North Carolina’s Rural Health Research Program, since 2010, more than 105 of America’s 1,700 rural hospitals have closed. Additionally, a Navigant report found that 21% of rural hospitals are at high risk of closing unless their financial situations improve.
Every day, rural Americans find themselves farther from medical care.
Practical challenges facing patients
Fatal injuries and illnesses aside, rural residents face other practical concerns related to the health care in their communities.
One solution to fill the gap in rural health care is air medical services, which transport patients to critical care facilities in minutes. With nearly 90% of patients transported living in rural areas, air ambulance services are an essential part of health care access in these communities.
However, just like rural hospitals, air ambulances are threatened as well. Medicare and Medicaid reimbursement rates have remained steady for decades, while operational costs required for air medical services have increased, creating a financially unsustainable situation. Some private insurers also refuse to cover air medical services or pay minimal costs, requiring patients to assume the balance.
How to take action
The challenges facing rural health care access may be significant, but rural residents can take individual actions to make a difference for themselves, their families and even their communities.
Protecting Patients Against the Unexpected
With increasing frequency, insurance companies are not covering the full cost of medical emergencies, leaving families with out-of-pocket expenses they didn’t expect.
If you need medical transport and a physician or first responder determines air evacuation is the best – or only – option to get you to care, you shouldn’t have to worry about the bill you’ll receive afterward. Many emergency service providers have support efforts in place to help you focus on recovery, not finances.
For example, many air medical companies provide patients access to their patient advocates, who work with the patient’s insurance provider to properly cover air medical transport, taking the patient out of the middle. This process can result in significantly lower costs for the patient, often amounting to just the usual copay and deductible.
Visit globalmedicalresponse.com/protect-patients to learn more about these services in your area.
Photos courtesy of Getty Images (doctor and man, woman speaking with doctor on computer)SOURCE:
Global Medical Response
Before you give birth, ask these 4 questions about your hospital
(BPT) - As you get closer to your delivery date, many decisions lie ahead, all centered around care, maternity leave and even decorating the baby's room. But one question may rise to the top: Where will you give birth?
If you are like most expectant mothers, you will be giving birth in a hospital. In spite of the rising popularity of home births, most moms choose hospitals to have their babies. The most recent statistics released by the Centers for Disease Control and Prevention show that fewer than 2 percent of babies born in the U.S. are born in a home setting.
When you're looking at where to give birth, expectant parents should consider the following while choosing a hospital, according to the Blue Cross Blue Shield Association (BCBSA).
The place to begin is with your doctor. Most women go to the hospital where their physician has admitting privileges. So when you choose your doctor, the hospital where your baby will be born is tied into that. Discuss your birth plan in detail with your physician and make sure you both are at an understanding. If you have specific preferences, ask your doctor if they can be accommodated. For example, if this is not your first child, and you want to try a vaginal birth after cesarean (VBAC), have that discussion in detail with your physician. And while doctors are on call after office hours, it's always a possibility that your doctor cannot attend your birth. Know who would take the place of your doctor if those circumstances arise.
If you're proceeding along in a healthy pregnancy, you may be planning a vaginal delivery. But a cesarean section is something to be aware of because one third of U.S. births are delivered by C-section, according to the Blue Cross Blue Shield, The Health of America Report. It turns out that the city you live in can have a big impact on how you give birth. Some cities see rates as high as 50 percent, however, cities like Albuquerque, New Mexico, have rates as low as 22 percent. It's important for patients to be aware of this because C-sections raise complications for both babies and mothers, and experts say these should be used only when medically necessary. In addition, vaginal births cost $4,000 less than surgical births.
The Blue Distinction Centers for Maternity Care program evaluates hospitals on several quality measures, including the percentage of newborns that fall into the category of early elective delivery, an ongoing concern in the medical community. The program is meant to identify facilities that offer maternity care safely and affordably. The maternity programs also must offer family centered care, such as promotion of breastfeeding.
If you're interested in a list of hospitals that deliver quality maternity care, visit bcbs.com/healthcare-partners/blue-distinction-for-providers/ and select "maternity care."
Not all hospitals are alike, so take time to review what it has to offer. Some maternity centers offer birthing tubs and fold-out couches. Knowing whether the hospital has a newborn intensive care unit may be a consideration, depending on the circumstances of your delivery and birth. If the hospital does not have a neonatal intensive care unit, ask your physician how these newborns are evaluated and transferred to other facilities. If you are interested in breastfeeding, ask if lactation consultants are available and how and when you can seek assistance.
Facing surgery can be a frightening, overwhelming experience. However there are things you can do prior to a procedure, such as doing research, selecting the right surgical team, asking questions, choosing a well-disinfected hospital or surgery center, selecting your surgery time and taking care of home obligations, that can go a long way toward easing your mind and avoiding post-surgery complications.
Preparing for a Safe, Successful Surgery
(Family Features) Facing surgery can be a frightening, overwhelming experience. Thousands of surgeries are performed every day and many result in the patient contracting a surgical site infection (SSI). According to the CDC, SSIs are the most common healthcare-associated infection (HAI), accounting for 31 percent of all HAIs among hospitalized patients. However there are things you can do prior to a procedure that can go a long way toward easing your mind and avoiding post-surgery complications.
Do Your Research. Learn about the procedure you will be having, including any short- or long-term side effects. Find out what the professionals recommend for the recovery process. Make sure you understand what your medical insurance covers and what your out-of-pocket responsibility will be.
Select the Right Team. Choose an experienced surgeon that specializes in the procedure you need. Do your homework on potential candidates, including learning their qualifications, specialties and amount of similar procedures performed. Pick a surgical team that you communicate well with, respects you and makes you feel at ease. Websites such as Yelp and HealthGrades can provide patient feedback on a surgeon’s performance.
Ask Questions. Since there are often several ways to perform a procedure, ask your doctor to explain the surgery. Discuss any risks, benefits and/or alternatives to the preferred method. Sometimes physicians will provide a reference patient who can tell you about their experience with the same procedure.
Contact the facility and ask about how they clean the operating rooms (ORs) and recovery areas – you want to go to the cleanest and most disinfected surgery center in your area. Just because an OR looks clean does not mean that dangerous microscopic superbugs aren’t lurking on surfaces in the room. Some hospitals use a Xenex LightStrike Germ-Zapping Robot, for example, that pulses xenon ultraviolet (UV) light to quickly destroy deadly germs and bacteria that can cause infections. Trinity Medical Center in Alabama reported a 100 percent decrease in joint (knee and hip) infections after it began using the robot to disinfect its ORs. Another hospital, Lowell General Hospital in Massachusetts, recently reported a 46 percent decrease in SSIs after utilizing a Xenex disinfection robot.
Select Your Surgery Time. Requesting a day early in the week, but not on Monday, and a time early in the day can decrease your odds of being exposed to germs and bacteria. ORs are deep cleaned each night, with quick cleans between each surgery. Since there are few surgeries on weekends, there may not be a cleaning crew available on Sunday night. Additionally, according to a UK study, the odds of death within 30 days after surgery were significantly higher the later in the week a surgery takes place.
Take Care of Home Responsibilities. Prior to surgery, get your home in order by cleaning, paying bills and running errands. Arrange for transportation to and from the hospital if anesthesia will be used.
Many factors influence the risk of getting an SSI, but patients have some control. To learn more about hospital acquired infections and how they can be prevented, visit Xenex.com/StopHAIs.
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