Did UberX reduce ambulance volume?

On-site physicians reduce ambulance transports at mass gatherings.

OBJECTIVES To prospectively determine if on-site physicians at a mass gathering reduced the number of ambulance transports to local medical facilities. The authors also wished to determine the level of care provider (emergency medical technician, EMT-P, registered nurse, or medical doctor) required to treat and disposition each patient. METHODS This study determined whether each patient prese...

Offload zone patient selection criteria to reduce ambulance offload delay

Emergency department overcrowding is a widespread problem and often leads to ambulance offload delay. If no bed is available when a patient arrives, the patient has to wait with the ambulance crew. A recent Canadian innovation is the offload zone—an area where multiple patients can wait with a single paramedic–nurse team allowing, the ambulance crew to return to service immediately. Although a ...

ACP Journal Club: supplementation with vitamin D did not reduce cartilage volume loss or pain in knee osteoarthritis.

Patients: 146 patients ≥ 45 years of age (mean age 62 y, 61% women) with symptomatic knee OA (American College of Rheumatology criteria: long-term knee pain and ≥ 1 osteophyte on knee radiograph [equivalent to Kellgren-Lawrence grade 2]), mild or worse weight-bearing pain (Western Ontario and McMaster Universities [WOMAC] pain subscale), and pain or discomfort referable to the knee joint. Exclu...

Pacemaker therapy did not reduce recurrent vasovagal syncope.

Nurse - To - Patient Mandate Did Not Reduce The Skill Matthew

When California passed a law in 1999 establishing minimum nurse-to-patient staffing ratios for hospitals, it was feared that hospitals might respond by disproportionately hiring lower-skill licensed vocational nurses. This article examines nurse staffing ratios for California hospitals for the period 1997–2008. It compares staffing levels to those in similar hospitals in the United States. We f...