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Family presence does not impede pediatric trauma care

Having a family member in the trauma room does not impact the quality of care a child receives, said a study presented at the Pediatric Academic Societies Annual Meeting in April. Researchers reviewed video and audio recordings of 145 trauma evaluations of patients 15 and younger to evaluate how well physicians followed evidence-based assessment protocols. For the 86 children who had relatives in the trauma room, 97% had their abdomens examined for injury according to protocol. That compares with 98% of the 59 children with no family present. Meanwhile, the median time for assessing the children’s airway was less than a minute for both groups. The findings should help ease concerns voiced by some hospitals and physicians that having relatives in the trauma bay interferes with the medical team’s ability to do its job, said Karen O’Connell, MD, the study’s lead author. A joint policy statement adopted in 2006 by the American Academy of Pediatrics and the American College ...

High court arguments did not shift public opinion on health reform

Americans remained just as divided over the national health system reform law in April as they were in March, even after the significant amount of attention paid to the U.S. Supreme Court’s consideration of the statute. The latest health tracking poll from the Kaiser Family Foundation, released April 24, found that the late March hearings before the high court did not move the needle all that much when it came to public perception of the law. The percentage of respondents who said they had a favorable view of the law went from 41% in March to 42% in April, while the unfavorable figure went from 40% to 43%. As it has for the two years the law has been in effect, perception closely tracked the political views of the respondents. Since the last Kaiser tracking poll was released in March, the percentage of respondents who said they were “very closely” or “fairly closely” following the health reform cases before the Supreme Court jumped 13 percentage points to 50%. Americans ...

Preventive cardiology training sorely lacking, study says

Most physicians being trained to specialize in cardiology are not getting nationally recommended training in preventive cardiology, according to a survey of 43 cardiology fellowship program directors and 56 chief cardiology fellows. Only 24% of programs met American College of Cardiology Foundation guidelines, which recommend that fellows receive one month of training dedicated to preventive cardiology. Another 24% had no formal training in preventive cardiology, and 30% had no faculty with expertise on the subject, says the American Journal of Cardiology article published online April 6. “It’s a matter of priority,” said Quinn Pack, MD, lead study author and a preventive cardiology fellow at Mayo Clinic in Rochester, Minn. “There are a lot of competing demands for the education time of cardiology fellows.” Obstacles to offering training in preventive cardiology cited by respondents included limited time, a lack of a developed curriculum, no faculty expertise and low ...