Penn Medicine News Blog Archive: Emergency Medicine

Over 350 people/teams participated in Penn Medicine's MyHeartMap Challenge, hunting down more than 1,500 AEDs, in about 800 unique buildings around the city of Philadelphia. AEDs were most commonly located in office buildings, gyms and recreation centers, and schools. Each one of the AEDs found represents fresh chances to save lives from sudden cardiac arrest, which claims the lives of more than 300,000 Americans each year.

Approximately 12 million Americans are seen in U.S. emergency departments each year for mental health-related symptoms. Of those patients, around 650,000 are evaluated for suicide attempts. For many of these people, it’s a frightening stop on the long and painful road of suffering that results from depression, anxiety, and substance...

The Choosing Wisely initiative, announced last week by the American Board of Internal Medicine Foundation, aims to spark conversation among both doctors and their patients about the types of tests and treatments that are likely to be unnecessary, and perhaps even harmful. More tests, the group explains, does not always mean better care – and overuse of these diagnostics is a huge contributor to the United States’ surging medical costs. The issue of overtesting is a special challenge for emergency physicians. Most of the time, patients are unknown to them, and sometimes, unconscious or otherwise too sick to explain their symptoms or medical history. That often means starting from scratch with determining what might be wrong, and making calls to their previous physicians doesn’t always yield answers, especially during off hours.

Would you be able to find an automated external defibrillator if someone’s life depended on it? Despite an estimated one million AEDs scattered around the United States, the answer, all too often when people suffer sudden cardiac arrests, is no. In a Perspective piece published online this week in the journal Circulation: Cardiovascular Quality Outcomes, Penn Medicine emergency physician Dr. Raina Merchant outlines the tremendous potential associated with greater utilization of AEDs in public places. In cases of ventricular fibrillation – a wild, disorganized cardiac rhythm that leaves the heart unable to properly pump blood through the body, which is the leading cause of sudden cardiac death – quick use of an AED and CPR improve a patient’s chance of surviving by more than 50 percent.

It’s Day 10 of Penn Medicine’s MyHeartMap Challenge, and more than 200 teams have signed on for the hunt, submitting more and more AEDs each day. From the farthest reaches of the city – all the way up in Northeast Philly’s Pennypack Park area to the Philadelphia International Airport in Southwest Philly – and throughout Center City, participants are snapping pictures and sending them to our team.

To celebrate American Heart Month, the News Blog is highlighting some of the latest heart-centric news and stories from all parts of Penn Medicine. Just in time for the start of American Heart Month, Penn Medicine kicked off the MyHeartMap Challenge yesterday. For the first time, the wisdom of the...

Within hours of the U.S. Department of Health and Human Services' announcement that they planned to use a group of "mystery shoppers" to study access to primary care across the country, outcry erupted among physicians who felt the study was deceptive and unfair. "Snooping," some called it. A poor use of tax dollars, others said. Days later, the department announced they were putting the effort, which would have surveyed more than 4,000 physicians in nine states, on hold. This week in the New England Journal of Medicine, Dr. Karin Rhodes, an emergency physician and health care policy researcher here at Penn's Perelman School of Medicine -- herself an expert in studies designed using the "secret shopper" method -- responds to the outcry in a "Perspective" piece aimed at taking the so-called "mystery" out of these studies.

A group of Penn Medicine researchers is set to save lives with cell phones cameras -- and they're challenging the public to help. The MyHeartMap Challenge, a contest that will launch this fall, is sending thousands of Philadelphians to the streets to locate as many automated external defibrillators (AEDs) as they can find.

Zachary Meisel, an emergency physician at the Hospital of the University of Pennsylvania who is also a Robert Wood Johnson Foundation Clinical Scholar, is Time.com's new "Medical Insider" columnist. A month into his new venture, he has taken on topics including the patient-directed "Google medicine" phenomenon, why abdominal pain is...