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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com


Here is a great video summarizing hemodynamic issues in airway management

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domingo, 5 de junio de 2016

Electronic medical records (EMRs)

Resultado de imagen de emergency medicine news
Simons S. Emergency Medicine News 2016: 38 (6): 24
doi: 10.1097/01.EEM.0000484526.25678.e3
"I have a fantasy. It involves my computer in the ED and a sledgehammer. The computer ends up on the floor smashed to pieces, and everyone ends up taking verbal orders the rest of the shift.
You may be wondering what the computer ever did to me and how I could harbor such hostility for technology that is supposed to make health care better. If you are, you clearly haven't experienced computerized physician order entry (CPOE). Yes, readily transferable and accessible information at our fingertips sounds great in theory. Computers make EPs omnipotent in patients' eyes, as shown by the expectation that two seconds after they roll into the ED we know the entirety of their medical history and medication list because it's in the computer. The reality is it's not that easy, and there are still many kinks with electronic medical records (EMRs)...
My top three frustrations with EMRs, in no particular order:
  1. Physicians should be physicians, not data entry clerks.
  2. If we're expected to be clerks, we at least need a customized operating system.
  3. Computers should not come between patients and their emergent medical care."
"Electronic health records (EHRs) and other health care technology is failing to improve the connection between patients and providers—and distracting providers from their real work. With more than 66% of doctors surveyed saying they wouldn’t recommend their EHR, it’s time to speak up, share your frustrations, and influence industry change."
(To see Infographics click image)