Category Archives: Emergency Medicine

Emergency Medicine

Waikato Business Awards 2023: Emergency Consult CEO wins … – New Zealand Herald

Emergency Consult CEO, Jenni Falconer, won the Emerging Leader of the Year Award at the 2023 Waikato Chamber of Commerce Business Awards.

A business specialising in online emergency health care, and its CEO, has won big at the Waikato Chamber of Commerce Business Awards.

Emergency Consult and its CEO Jenni Falconer, entered the competition for the first time and left the awards as champions.

Falconer has been recognised as the Emerging Leader of the Year, and the business received the Innovation Award.

In the late 1990s, Falconer served as a nurse alongside the three co-founders of Emergency Consult and during that time, they attended to about 50 patients daily in the emergency department (ED), and the waiting times were not excessively long.

Twenty years later they saw a need for change when the number of patients arriving in ED and after-hours clinics had increased significantly and wait times became lengthy.

They came to the solution of a tele-health service in 2019, where Emergency Consult provided 24-hour urgent care remotely with a team of doctors and nurses treating patients on-demand via web-based video chat.

When we set it up, we were working in emergency medicine and saw all these people turning up to ED and wondered how do we take ED to the people?

We thought we could help people who were time poor and who could afford to pay to see a doctor, she said.

Emergency Consult was then approached by the Waikato DHB during Covid-19, to help support people stuck at home and who needed to see a doctor.

It quickly became evident that there was a huge demand for remote specialist support from within the healthcare sector itself.

Emergency Consult was now opening a bricks-and-motar clinic in Ppmoa, Tauranga, as a trial because Falconer said the population had mushroomed, and Tauranga Hospitals ED was under considerable pressure.

Youll come in, be quickly seen by a nurse who can either help or direct you through to a virtual consult with a doctor and it will include a team of high-skilled nurses supported by the tele-health model.

Were always looking at where the next need is. We know thats an acute mental health service, paediatrics, and in palliative care.

Falconer felt humbled to learn her team had nominated her for Emerging Leader of the Year.

To be a leader you need to have a team. Ive surrounded myself with people whove helped make this journey easy in some ways and certainly enjoyable.

It was a really nice surprise to find out theyd nominated me and then to read what theyd written. The judging process was a great opportunity for reflection. You do forget how far youve come.

Emergency Consult has grown rapidly with almost 90 staff from an initial start of eight, with a range of healthcare providers utilising the tele-health service today.

Emergency Consults team of emergency medicine specialists provided virtual support to hospital EDs, rural clinics, nurse-led clinics, ambulance services and pharmacies.

A different team of senior registered nurses also provided covid care, acute care triage, and aged care support.

Falconer said the tele-health service has been emerging internationally as a cost-effective and convenient means of delivering health care, and they were going a step further by offering 24-hour on-demand care.

The Waikato Chamber of Commerce Business Awards were overseen by a panel of 29 judges who evaluated 76 business entries from Te Kauwhata to Taup.

The annual awards are run by the Waikato Chamber of Commerce with support from Hamilton developer Foster Construction, and the winners were judged across 11 categories this year.

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Waikato Business Awards 2023: Emergency Consult CEO wins ... - New Zealand Herald

Emergency Medicine

Bridging the ruralurban health-care divide through community … – Nature.com

Kotzebue is one of the most remote places in Alaska. The Siamit programme, a collaboration between Indigenous Iupiat people and researchers based at institutions in Boston, Massachusetts, aims to improve the health of people in Kotzebue and the surrounding region.Credit: Design Pics Inc/Alamy

Achieving health equity in rural areas requires researchers, communities and health workers to collaborate to translate knowledge into clinical care1. Partnerships that bridge research hospitals, medical schools and rural health systems can play a part in this process by fostering relationships, sharing training infrastructure and exchanging knowledge between communities, academic institutions, patients and carers2. In turn, rural communities can be productive, lifelong homes for clinician-researchers who are pursuing careers in academic medicine3.

Our programme, Siamit, is a small-scale example of this model in a remote, predominantly Indigenous Iupiat region in northwest Alaska that spans 12 villages and more than 100,000 square kilometres of the Alaskan Arctic. Founded in 2016, Siamit encompasses a series of interwoven research, training and service partnerships between three organizations: the Maniilaq Association, the regions non-profit health system; the Harvard Medical School (HMS) Department of Global Health and Social Medicine, based in Boston, Massachusetts; and the Massachusetts General Hospital (MGH) Division of Wilderness Medicine, also in Boston. Siamits mission is to advance rural health equity by connecting academic medicine and community care.

Our first year of programme development focused on a series of needs assessments, conducted in each of the regions villages by teams of academics and community members. Through interviews with patients and their families and professional carers, as well as other community members, we identified three priorities: expanding access to physician care in outlying villages, meeting workforce-development priorities in the region, and addressing social- and behavioural-health needs through the primary-care system4.

African scientists call for research equity as a cancer crisis looms

In 2017, we began to address these priorities. Physicians from MGH, including faculty members and fellows in relevant specialties, began working at village clinics and the Maniilaq Health Center, the regional hub hospital in Kotzebue, Alaska. Meanwhile, academic staff in both Alaska and Boston developed and taught a social-medicine curriculum for health workers and trainees in rural Alaska. Pursuing funding for research and clinical practice in parallel became part of our strategy to implement necessary health-care programmes, while evaluating their impact and sharing results. We established programmes in primary care, emergency medicine, psychiatry and addiction medicine, womens health and social medicine each of which includes research components that inform programme design. In all programmes, the main focus is on care delivery.

In the following years, Siamit focused on expanding research and training infrastructure between Alaska and Boston. We developed a medical-resident rotation programme at Maniilaq Health Center that supports physicians pursuing rural health careers, as well as a postgraduate research fellowship for early-career Indigenous health workers. Our faculty members developed medical-education courses for physicians across the Indian Health Service, the national health programme serving American Indians and Alaska Natives, and the Alaska Tribal Health System, the sovereign health system serving Alaska Natives5. Over time, some graduates became part of our core medical staff and Alaska-based faculty; others became affiliated faculty and research partners at academic medical centres across the United States. An ecosystem began to take shape, with the three-fold mission of teaching, research and service at the centre, at the second most remote hospital in the country.

Indias social health activists are tackling cancer in rural communities

Over the past seven years, a few principles common to community-medicine projects have resonated deeply in our work. First, governance is key. Rural communities tend to know their needs, values and priorities best, and they should lead partnerships to address those priorities. In Indigenous-health research, in the face of a long history of extraction of knowledge and exploitation, particular attention should be paid to governance systems and sovereignty6. Formal community leadership and clearly stated organizational values can all have a role in reinforcing this principle.

Second, health research in under-resourced communities should focus on real, material improvements to health and health care. This could mean that the scope of work is narrower and deeper, with less focus on the incentives of conventional academic life, and more emphasis on long-term commitments to understanding local contexts, needs and concerns. Such work requires a particular kind of researcher, as well as a particular kind of academic home. Institutions that move towards embracing public service, social responsibility and care for the community in their hiring and promotion criteria will be the ones where such efforts succeed.

Third, the value of academicrural health partnerships grows exponentially once a certain threshold of integration is reached. Isolated projects can have great impact, and a more limited, well-defined scope of work can make sense as an anchor point for academiccommunity teams. Still, the ecosystem of relationships, projects and priorities that has taken shape under a broader, community-governed mandate in our region has value. Such an approach requires a clear framework for decision-making and action, along with optimism for the future of rural health.

Although rural communities might be distant from the typically urban infrastructure of health research and training, many have high levels of community engagement, strong social networks and innovative health systems that dovetail with the ethos and function of academic medicine. We can imagine a not-too-distant future in which many academic clinicians base their lives in rural and remote communities, which will have a larger role in the shape and conduct of academic life. The common ground between rural priorities, clinical need and academic mission is enough for lives, careers and institutions to be built on and all parties will be better for it.

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Bridging the ruralurban health-care divide through community ... - Nature.com

Emergency Medicine

Trunnionosis in Metal-on-Polyethylene Total Hip Arthroplasty With … – Cureus

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Trunnionosis in Metal-on-Polyethylene Total Hip Arthroplasty With ... - Cureus

Emergency Medicine

Emergency Medicine Receives National Distinction with Ultrasound … – University of Alabama at Birmingham

Maxwell Thompson, MD, Assistant Professor and Program Director, Emergency Medicine Ultrasound FellowshipThe Department of Emergency Medicine's Ultrasound Fellowship has received a three-year accreditation from the Emergency Ultrasound Fellowship Accreditation Council (EUFAC). The accreditation application process was led by Maxwell Thompson, MD, Program Director of the Ultrasound Fellowship.

EUFACrepresents several prestigious emergency medicine organizations with a common goal of quality subspecialty training in ultrasonography, including the Society of Clinical Ultrasound Fellowships, the Society of Academic Emergency Medicine, the American College of Emergency Physicians, and others. Itwas created to provide subspecialty fellowship program accreditation for Advanced Emergency Medicine Ultrasound Fellowships. To be granted accreditation, programs must complete an application process which evaluates them in comparison to published accreditation standards. Programs earning EUFAC accreditation are recognized as top emergency medicine ultrasound training programs. Only graduates of fellowships with EUFAC accreditation are eligible to sit for certification through the American Board of Emergency Medicine. Among other requirements, programs must demonstrate excellence in faculty and fellow evaluation, scholarly activity and educational work, professionalism, teamwork, and quality improvement.

By earning EUFAC accreditation, UAB joins over 100 other institutions which have demonstrated excellence in this area.

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Emergency Medicine Receives National Distinction with Ultrasound ... - University of Alabama at Birmingham

Emergency Medicine

TTUHSC Emergency Medicine professional shares hiking tips – KLBK | KAMC | EverythingLubbock.com

LUBBOCK, Texas Texas Tech University Health Science Center Assistant professor of Emergency Medicine, Brian Kendall, MD., shared tips on how to be prepared before a hiking trip, according to a press release.

According to the press release, Dr. Kendall emphasized that even on short hikes, that means having what you need to prevent and handle a variety of medical issues on the trail.

I think having some basic knowledge before you go and then taking some of the supplies that you would needcan cover a wide range of medical issues day-hikers might experience. said Dr. Kendall.

Dr. Kendall said in the press release that he has a first aid kit that has a lot of different things in it like gauze, bandages and ace wrap and medicine.

While blisters are an inconvenience for hikers, Dr. Kendall has preventative measures to protect the area of the foot that is more prone to sweat and friction.

Duct tape or moleskin are recommended depending on if youre hiking in wet or dry conditions, said the release.

It is also important to stay hydrated before and during the hike.

Dr. Kendall recommended carrying electrolyte tablets to add to water on longer trips.

Thats what helps your body function at its peak performance. If youre dehydrated, your brain isnt going to be able to function as well Thats going to decrease your physical performance on the hike, Dr. Kendall said in the release.

Dr. Kendall also reminds when hiking to go with a partner in case of an emergency and pack your essentials to carry in your backpack.

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TTUHSC Emergency Medicine professional shares hiking tips - KLBK | KAMC | EverythingLubbock.com

Emergency Medicine

Return of 3-Day Rule Will Stress Crowded Hospitals Further – Medpage Today

Emergency physicians are concerned about the return of Medicare's 3-day rule when a waiver that suspended it expires with the COVID Public Health Emergency (PHE) on May 11, warning it will make hospital overcrowding much worse.

The waiver has allowed hospitals to bypass a requirement that traditional Medicare beneficiaries must have 3 full days of an acute stay in order for Medicare to cover their skilled nursing facility (SNF) care when they are discharged.

At the moment, these patients can be discharged directly to a nursing home -- even from the emergency department if appropriate and they have been stabilized -- and still get Medicare coverage for their SNF stay.

When the original policy goes back into effect, patients not hospitalized for that duration will have to pay out-of-pocket for SNF care. Additionally, many skilled nursing facilities won't accept beneficiaries who didn't fulfill the requirement.

That means hospitalists will be under more pressure to keep these patients in acute care beds for the required 3 days, even if they don't really need to be there, emergency physicians said.

"Patients need to meet criteria in order to be admitted in the first place," Jeffrey Davis, director of regulatory and external affairs for the American College of Emergency Physicians (ACEP), told MedPage Today. "But sometimes when a patient needs only 1 or 2 days, they're going to try to keep them there for 3 days so they qualify if they need SNF coverage."

He gave an example of a patient who has a knee operation and there's a surgical complication that takes him to the emergency department. "If he needed rehab treatment, he could probably go safely and directly to a skilled nursing facility. But instead, you have to be an inpatient for 3 days. It doesn't make any sense."

The domino effect means inpatient units will fill up faster, beds will be occupied for longer periods, and more patients will be boarded in the emergency department, taxing emergency department staff even more, Davis said.

The ACEP website has a section devoted to what Davis called "horrific" stories of boarding in hospital emergency rooms, where patients are receiving what he called "hallway medicine."

"Our worry is if they reinstate this, it will make matters even worse, because when the inpatient beds are full, this backs up and locks up whole lines of patients," he said.

Davis noted that most Medicare Advantage enrollees and beneficiaries cared for under certain experimental models such as acute care organizations (ACOs) are not bound by the rule.

Hospital Overcrowding 'Already the Worst in My Career'

A combination of factors in the current "peri-pandemic" period are contributing to hospital overcrowding, said Abhi Mehrotra, MD, an emergency physician and vice chair of emergency medicine at the University of North Carolina Hospitals.

Right now, for example, 60% to 70% of his hospitals' emergency room beds last week were occupied by patients "waiting to go someplace else, either into the hospital for a medical reason, or into a state psychiatric facility, or other kind of hospitalization for behavioral health purposes," said Mehrotra, who is also the past president of ACEP's North Carolina chapter.

"We are definitely over capacity and crowded on the inpatient side, and that has led to emergency department boarding and ED overcrowding," he said.

Workforce issues play a role as well. Mehrotra said his hospital has "had times when beds within the hospital had to be shut down because we didn't have nurse staffing for those beds. I've heard of facilities that have shut down operating rooms because they don't have the staff to run them."

Some of the beds are filled with patients receiving long-delayed but necessary elective care. But much more glaring and difficult, he said, is that "the patients have changed."

"We didn't use to have patients brought into the emergency room because their families weren't able to care for them," he said. Patients have behavioral or cognitive issues, and "they need other resources and placement but there's no medical diagnosis to admit them."

Sometimes the nursing homes themselves can't take care of a patient whose status has changed, and send them to the hospital as well.

Scripps Health in San Diego has been keeping track of "avoidable bed days," or ABDs -- days in which patients were medically stable enough to be discharged but remained in acute care because there was no safe, appropriate setting for them to move to.

From Oct. 16, 2022 to April 15, 2023, its five hospitals and behavioral health unit counted 18,301 avoidable bed days affecting 1,958 unique patients, or an average of 101 ABDs per day.

Scripps Health president and CEO Chris Van Gorder said most of his system and that of others in his region are at capacity.

"Because of low state and federal reimbursement for their patients, SNFs, long-term care, and behavioral health facilities are not taking these low-pay and sometimes, complex patients and we are ending up with beds that are tied up for months and longer," he said.

"To be honest," Van Gorder said, "while the end of the PHE will make things a bit worse, they are already the worst I've seen in my healthcare career."

'Antiquated' Rule

Vincent Mor, PhD, of the Brown University School of Public Health in Rhode Island, and author of an invited commentary on the 3-day rule's history in JAMA Internal Medicine, agreed that the waiver's demise could lead to additional patients taking up hospital beds.

Depending on the size of the hospital, he said, on any day "you could have as many as 10 or 15 extra bed days waiting for that third day to finish."

"If the emergency doctors are concerned about it, it's because they're admitting people who they may not need to admit," he said.

Many others interviewed said it's time for the 3-day rule -- which is as old as Medicare itself, going back to 1965 -- to be abolished.

Leading Age, an advocacy organization for long-term and other senior care providers, has petitioned HHS Secretary Xavier Becerra to permanently extend the waiver.

Although the rule's original intention of preventing hospitals from inappropriately discharging certain patients was noble, recent Medicare audits showed the waiver had no negative impact on patient outcomes, according to Leading Age.

In a statement, the group called the 3-day rule "antiquated" and said it's "onerous for patients and providers and reimplementing it will create hardships for older adults and families who need access to care."

Cheryl Clark has been a medical & science journalist for more than three decades.

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Return of 3-Day Rule Will Stress Crowded Hospitals Further - Medpage Today

Emergency Medicine

Fresno emergency doctor helps save honoree at Top Dog event – The Business Journal

Dr. Danielle Campagne currently serves as the Interim Chief of Emergency Medicine at UCSF Fresno. Photo contributed

Fresno States Top Dog awards took a turn Saturday when one honoree helped save the life of a fellow honoree.

Scott Barnes, a former Fresno State Basketball standout and current athletic director at Oregon State University, attended the ceremony to receive the Outstanding Alumni Award for the Department of Athletics.

Toward the start of the ceremony, witnesses feared Barnes was experiencing a medical emergency. Thats when Dr. Danielle Campagne stepped in and administered aid to the athletic director along with other medical personnel in attendance with her.

My colleagues and I are honored to have been there to provide emergency medical care. This is what we do as emergency medicine physicians. Right now, our thoughts and prayers are with him and his family, said Campagne in a statement.

Campagne currently serves as the interim chief of emergency medicine at UCSF Fresno, and was the Distinguished Alumna honoree, the highest honor given by the Fresno State Alumni Association.

After Campagne took lifesaving measures, Barnes was transported to Saint Agnes Medical Center where he was showing signs of improvement and communicating with family members Sunday.

Dr. Campagne earned her medical degree at University of Southern Californias Keck School of Medicine before completing residency at University of California, San Francisco, Fresno, where she served as a chief resident.

Part of her job at UCSF Fresno is supervising medical students and residents in the emergency department at Community Regional Medical Center.

A former Sanger resident, she earned a bachelors degree in biology from Fresno State in 2000 where she was a member of the honors college and played on the tennis team.

Barnes received both a bachelors degree in 1986 and a masters degree in 1993 from Fresno State. During his time at the university, Barnes was a basketball letterman and helped the Bulldogs advance to the NCAA Tournament and NIT. As a senior, he was second team all-conference player before playing professionally in Germany.

In a statement on Sunday following the incident, the Pac-12 expressed support for Barnes and his family during this difficult time.

Scott Barnes is a dear friend, trusted colleague and incredibly loved man across the Oregon State and Pac-12 families and the entire college sports community. Our thoughts are with Scott and his family at this time, said Pac-12.

Fresno County Supervisor Sal Quintero said Tuesday he was in attendance at the event when he saw Barnes face grow blank while addressing the audience. Then he heard a thud when Barnes apparently lost consciousness.

Quintero said Campagne and her colleagues saved Barnes life.

I told her afterward you should have worn a cape or something,' Quintero said.

The Associated Press contributed to this report.

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Fresno emergency doctor helps save honoree at Top Dog event - The Business Journal

Emergency Medicine

Nation’s No. 1 Veterinary School to Open New ER/ICU – University of California, Davis

Veterinary appointments have been a challenge to obtain in the past two years, with long wait times even in emergency situations, as the industry struggles to keep up with demand. To combat this issue, the University of California, Davis, School of Veterinary Medicines teaching hospital has expanded its clinical space, including the opening of a new emergency room and intensive care unit on Wednesday, May 3.

Admittances to the ER have more than doubled since immediately before the pandemic. Historically, the ER caseload has increased tenfold since 2013, seeing an average of more than 900 cases per month in 2022, with some months seeing more than 1,200 patients.

The veterinary school, recently ranked No. 1 in the nation by U.S. News and World Report for a third straight four-year period, is celebrating its 75th year. It remains committed to growing the profession through an improved campus to train future veterinarians and meet the needs of animals needing emergency and complex care.

The new ER/ICU occupies the old space and incorporates adjacent space, for a total of approximately 1,600 square feet, nearly double the 900 square feet of the old ER/ICU, according to Mark Stetter, dean of the School of Veterinary Medicine. While the level of emergency care has improved over the decades, the physical space of the ER/ICU has remained the same since the building opened in 1970. With the expanded space, the new facility will optimize patient care and increase student training opportunities.

The expansion will also make way for more training opportunities for visiting veterinarians wanting to learn about emergency medicine and residents training to become critical care specialists. The number of ER/ICU residents will expand from seven to eight over the next year.

Our ERs caseload has increased tremendously since the pandemic, said Stetter. This new space and expanded care teams will better allow us to meet our patients needs, as well as the professions need for more specialists. Well be able to see that all animals are treated in a timely and compassionate manner.

A $2.1 million gift from an anonymous donor supported the expansion. It is part of the UC Davis Veterinary Medical Center campaign to transform the current teaching hospital into the foremost veterinary facility in the world. The ER/ICU is one of two projects that will bookend the schools anniversary year. The All Species Imaging Center is also projected to be complete as the school wraps up its 75th anniversary celebration in 2024.

In addition to the new ER/ICU and imaging center, UC Davis is also creating the Dentistry, Oral and Maxillofacial Surgery Center, as well as the outpatient Center for Advanced Veterinary Surgery to diminish wait times of nonemergent orthopedic surgeries.

Other Veterinary Medical Center endeavors include the already completed Feline Treatment and Housing Suite, and Cardiology Service suite. Still to come are the Equine Performance and Rehabilitation Center, the Livestock and Field Service Center and an entirely new Small Animal Hospital, all of which will develop later in the decade.

The opening of the new ER/ICU kicks off the schools 75th anniversary celebrations, which run from April 2023 through May 2024. Later this week, the school will hold its Alumni Reunion Weekend (April 28-30) and include celebrations throughout the year, culminating with a gala event in April 2024.

And as the school celebrates its 75th anniversary year, it is launching the largest fundraising campaign in its history, with a goal of $75 million by the end of the 2023-24 academic year.

Its my great honor to lead the veterinary school during such a vibrant, celebratory era, Stetter said. I look forward to the expansion of our first-class veterinary instruction, research, and clinical care, as we continue to position UC Davis at the top of veterinary education.

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Nation's No. 1 Veterinary School to Open New ER/ICU - University of California, Davis

Emergency Medicine

Local news briefs for the Watertown area. – Watertown Public Opinion

Watertown Volunteer Center suspends operations

The Watertown Volunteer Center announces the suspension of the organization effective on Friday, April 28.

The decision to suspend the Watertown Volunteer Center was made after careful consideration of the organizations long-term goals and financial sustainability. It came to fruition as a response to the flood of 1997 and was intended to house and place volunteers for the needs of the community during this time. From there, it evolved into a non-profit organization that helped other organizations find and place volunteers.

The Watertown Volunteer Center has fulfilled thousands of volunteer opportunities and hours over the years. However, in recent years, there has been a drastic decrease in requests and registration of volunteers.

Officials want to express their sincere gratitude to all of the volunteers, partner organizations and community members who have supported the Center over the years and are committed to working with partners and stakeholders to ensure a smooth transition.

Although the Watertown Volunteer Center may be halting operations, officials are confident that the spirit of volunteerism and community service will continue to thrive in Watertown. Everyone is encouraged to continue supporting local organizations in their pursuit of making a positive impact in our community.

If you or your organization are interested in continuing the Watertown Volunteer Center's work, please call (605)753-0282.

Prairie Lakes welcomes new physician to Emergency Services

The Prairie Lakes Healthcare System welcomes Niel Burns, MD to the ER staff at the Prairie Lakes Emergency Department.

Dr. Burns joins Dr. Erickson, Dr. Filler and Dr. Singh in triaging and treating patients with urgent and emergency medical needs and conditions.

Dr. Burns is a board-certified family physician and has nine years of experience in the emergency medicine setting. He earned his medical degree from the University of South Dakota Sanford School of Medicine in Vermillion nd completed his residency in family medicine at Siouxland Medical Education Foundation-Family Medicine Center in Sioux City, IA.

Dr. Burns currently resides in Pierre with his wife Heidi and stepdaughter Ava. Dr. Burns is very active in his spare time and enjoys archery/bowhunting, fishing, golfing, distance running, cooking, kayaking, playing piano and reading.

I look forward to serving the Watertown community, said Dr. Burns. The Emergency Department is fast paced, challenging, and very rewarding. Its where I feel passionate about helping, treating, and caring for patients.

Prairie Lakes Healthcare Systems Emergency Services are dedicated to serving the Watertown community and surrounding region with highly skilled, 24/7 emergency care.

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Local news briefs for the Watertown area. - Watertown Public Opinion

Emergency Medicine

Tyler Jorgensen: Easing End-of-Life Care With Nostalgia & Music … – Dell Medical School

Many forms of recorded music have been shown to lower pain scores, decrease anxiety and depression, and promote loved ones well-being. However, we feel that vinyl records in particular in contrast to more readily available electronic modalities of music provide a more unique and multisensory experience.

Records providetactile, visual and auditory stimulation, while often evoking nostalgia and drawing on positive shared memories. We specifically chose a wide-ranging library of records to represent music from across diverse cultural backgrounds, allowing for a customizable, patient- and family-centered experience. We have found that the record player and records are like a time machine for our patients, transforming them back to a happier time in their lives.

We are still studying the impact, but a recent survey of residents, nurses and advanced practice providers reveals uniformly positive experiences with the record player.Anecdotally, our patients and families (and our staff) have reported a significant boost in their well-being after using ATX-VINyL. A recent patient and his family stated that using ATX-VINyL was the first time they had felt fully human again after many weeks in the hospital.

As physicians, we need to deliver our care in a way that respects and honors the humanity and dignity of each patient we care for. This includes tailoring our therapeutic strategies toward patient-centered goals of care. But caring for our patients personhood can also include the incorporation of some human elements as we treat their illnesses and injuries music, art, poetry, stories, laughter. Educational efforts highlighting research that supports the use of these therapies can help providers and institutions understand the value of non-pharmacologic interventions.

Ideally, hospitals in Austin, across Texas, and around the world will grow to value complementary therapies and devote resources toward music and art therapy experts and toward artistic resources that can be shared with patients.

I find it very interesting that childrens hospitals seem to understand the need for these sorts of things intuitively they are filled with art, music, and interactive play and therapies but our adult hospitals often are not. Patients still need these things even after they turn 18-years-old.

I have dedicated significant time this year to studying existing research on music interventions for terminally and critically ill patients. I have also met with researchers from around the country and internationally to discuss and workshop our latest music intervention strategies.

I practiced emergency medicine for over a decade before pursuing training in palliative medicine and I had a front row seat to the distress, fear, pain and anxiety that acute medical illnesses and traumatic injuries can cause. Now in palliative medicine, I have truly enjoyed being able to focus more on the human experiencing the illness than the illness itself.I stress to our residents and medical students that one of our main jobs is to learn to connect with the human inside each patient. Then we will know how to best care for them.

This news feature is part of Dell MedsVoices, a series of profiles that highlight the people of Dell Med as they work to improve health with a unique focus on our community.

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Tyler Jorgensen: Easing End-of-Life Care With Nostalgia & Music ... - Dell Medical School