Published on July 26, 2013 at 7:46 AM
Boston Globe: Hypothermia Making A Comeback In Medicine
The last Dr. Peter Franklin remembers, he was lying on a table in the cardiac catheterization lab in a Miami hospital when his chest started to hurt. Then he died. The medical team raced to restart Franklin's heart, then placed a stent in a blocked artery to allow blood to again flow freely. His doctors also worked to save his brain, using a technique that's as old as ancient Greece -; hypothermia. With recent studies lending scientific credibility to the practice, doctors now know that lowering a patient's body temperature -; using methods including cooling blankets or an infusion of cold fluid -; can improve brain recovery in patients who are comatose after cardiac arrest (Dr. Daniela J. Lamas, 7/22).
The New England Journal of Medicine: The Residency Mismatch
For generations, the supply of practicing physicians in the United States has swung from too small to too large and back again. In 2006, alarmed about a growing physician shortage, the Association of American Medical Colleges (AAMC) recommended that medical school enrollments be increased by 30% over the next decade. ... But there's another barrier to creating enough practicing physicians: there are insufficient residency posts to accommodate all these medical graduates. ... The absence of health-workforce planning, a hallmark of the freewheeling U.S. market economy, may come back to haunt policymakers, particularly when physician shortages become more apparent as the ACA's coverage expansion takes hold (John K. Iglehart, 7/25).
This article was reprinted from kaiserhealthnews.org with permission from the Henry J. Kaiser Family Foundation. Kaiser Health News, an editorially independent news service, is a program of the Kaiser Family Foundation, a nonpartisan health care policy research organization unaffiliated with Kaiser Permanente.