Higher early nutritional intake may boost brain growth in preemies | Hospital's neuroscience center plan includes ICU, step-down units | Emergency medical responses to mass shootings have evolved
February 16, 2018
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Higher early nutritional intake may boost brain growth in preemies
Very preterm infants who received greater nutritional intake and enteral feeding during the first two weeks of life had increased brain growth and accelerated white matter maturation at term-equivalent age, compared with those with lower early nutritional intake, Canadian researchers reported in Pediatrics. The findings also showed that brain growth was associated with psychomotor outcomes at 18 months' corrected age.
Healio (free registration)/Infectious Diseases in Children (2/13) 
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Hospital's neuroscience center plan includes ICU, step-down units
A $29.2 million plan to create a new neuroscience center at Abbott Northwestern Hospital in Minneapolis includes 13 neuro-intensive care beds and 43 step-down and general neurology beds, putting all levels of neurology care together. The ICU and step-down unit currently are in different buildings.
Star Tribune (Minneapolis-St. Paul, Minn.) (tiered subscription model) (2/15) 
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Medicine in the News
Emergency medical responses to mass shootings have evolved
The emergency medical response to this week's mass shooting at a Florida high school may have been influenced by policies developed after similar events that saw bystanders helping victims before first responders arrived and highlighted the issue of deadly bleeding. "All of us have revised approaches to supply distribution, triage, and patient distribution over the past two years because of lessons learned from active shooter incidents that are fast-moving critical incidents," said emergency medical technician-paramedic A.J. Heightman, editor of the Journal of Emergency Medical Services.
MedPage Today (free registration) (2/15) 
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ACA dependent coverage provision improved prenatal care use
A study in the Journal of the American Medical Association showed that mothers ages 24 to 25, especially those who weren't married, had increased use of early and adequate prenatal care, reduced preterm births, higher private insurance payments, and lower Medicaid payments and self-payments after the implementation of the Affordable Care Act dependent coverage provision, compared with those ages 27 to 28. However, the findings showed similar rates of low birth weight, cesarean delivery and NICU admission before and after the ACA dependent coverage enactment.
Physician's Briefing/HealthDay News (2/13) 
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Trends and Technology
Penn Medicine's new telehealth hub includes E-lert ICU
Penn Medicine's new Center for Connected Care is one of the largest telehealth hubs in the US. It includes the Penn E-lert ICU, a program to link obstetricians to trauma surgeons to care for critically injured pregnant women, virtual urgent care services and an at-home telehealth program for patients with chronic illness.
MedCity News (2/15),  FierceHealthcare (2/15) 
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Inappropriate CDS alert overrides tied to adverse drug events, study finds
Inappropriate overrides of clinical decision support alerts were six times as likely to correspond to a definite or potential adverse drug event, compared with appropriate overrides, a study in BMJ Quality & Safety found. Researchers analyzed 2,448 overridden CDS alerts involving 712 patient encounters and found that 81.6% of the alerts were appropriately overridden.
Becker's Hospital Review (2/14) 
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