August 2017, Volume 110 - Issue 8

The Premedical Curriculum: We Can Do Better for Future Physicians

Bharat Kumar, MD, MME, RhMSUS, Melissa L. Swee, MD, MME, Manish Suneja, MD

Abstract: I n the long journey toward becoming a doctor in the United States, the first day of medical school often is considered the starting point. The fact is that medical education begins long before that epochal event. Indeed, the first dedicated steps take place in college,...

(pp 538-539)

Mitigating Matthew: 5 Lessons to Help Improve Hospital Preparedness in a Hurricane

Lancer A. Scott, MD, Florence E. Hutchison, MD

Abstract: Hurricane Matthew (Fig. 1) made landfall in the United States on October 8, 2016 near McClellanville, South Carolina, located just north of Charleston. The storm caused nearly $10 to $15 billion in damages along the southeast coastline, representing the 22nd most damaging...

(pp 528-530)

Patients with Access and Functional Needs in a Disaster

Sharon E. Mace, MD, Constance J. Doyle, MD

Abstract: Individuals with special healthcare needs have some of the highest morbidity and mortality rates during disasters. Efforts to triage, transport, shelter, or treat vulnerable populations often fail to take into consideration disabilities and social situations, including...

(pp 509-515)

Disaster Medicine in the Post-9/11 Era

Lancer A. Scott, MD

Abstract: As I write this introduction to the special series on disaster medicine in this issue of the Southern Medical Journal, I am struck by the fact that nearly 16 years have passed since the terrorist attacks of September 11, 2001—16 years! For those of us in the academic...

(pp 492-493)

Management of Intrauterine Contraception in Early Pregnancy

Shanthi S. Ramesh, MD, Samantha Charm, MPH, Alison Kalinowski, MD, Abigail L. Liberty, MD, Gretchen S. Stuart, MD, MPHTM

Abstract: Objectives: Women with rare intrauterine contraception (IUC) failures are advised to have their IUC removed because of the risk of poor obstetric outcomes with a retained IUC. Specifics regarding IUC removal in early pregnancy including techniques for removal, rates of...

(pp 550-553)

Opportunity for Collaboration Between Radiation Injury Treatment Network Centers and Medical Toxicology Specialists

Elizabeth Davlantes, MD, Samuel Shartar, MSN, RN, Jennifer Venero, MA, Alaina Steck, MD, Amelia Langston, MD, Ziad N. Kazzi, MD

Abstract: Objectives: The Radiation Injury Treatment Network (RITN) comprises >50 centers across the United States that are poised to care for victims of a radiation emergency. The network is organized around bone marrow transplant centers because these facilities excel in both...

(pp 497-501)

Introduction to Special Series on Disaster Medicine

G. Richard Holt, MD, MSE, MPH, MABE, DBioethics

Abstract: The Southern Medical Journal extends its appreciation to guest editor Lancer A. Scott, MD, and his colleagues for the development of the special series on disaster medicine in this issue of the Journal. Dr Scott continues to be a strong advocate for the importance of...

(pp 491)

Impact of Polypharmacy on Seniors’ Self-Perceived Health Status

Rafia Rasu, BPharm, MPharm, MBA, PhD, Walter Agbor-Bawa, MS, PharmD, Nahid Rianon, MD, DrPH

Abstract: Objectives: Polypharmacy is common among older patients and is linked to increased risk of adverse health outcomes. This study aimed to explore the association of polypharmacy and self-perceived health status (SPHS) among geriatric patients. Methods: This cross-sectional...

(pp 540-545)

Implementing a Disaster Preparedness Curriculum for Medical Students

Edward H. Jasper, MD, Gregory K. Wanner, MS, DO, Dale Berg, MD, Katherine Berg, MD, MPH

Abstract: Objectives: Training in disaster medicine and preparedness is minimal or absent in the curricula of many medical schools in the United States. Despite a 2003 joint recommendation by the Association of American Medical Colleges and the Centers for Disease Control and...

(pp 523-527)

Survey of Hospital Employees’ Personal Preparedness and Willingness to Work Following a Disaster

Jane H. Brice, MD, MPH, David Gregg, MD, Dalton Sawyer, MS, Julianne M. Cyr, MPH

Abstract: Objectives: Little is known about the personal readiness of hospital staff for disasters. As many as 30% of hospital staff say that they plan not to report for work during a large-scale disaster. We sought to understand the personal disaster preparedness for hospital staff....

(pp 516-522)

Predictors of 30-Day Mortality in Hospitalized Patients with Clostridium difficile Infection

Jayakrishna Chintanaboina, MD, MPH, Seyedehsan Navabi, MD, Kristen Suchniak-Mussari, MD, Benjamin Stern, DO, Simranjit Bedi, DO, Erik B. Lehman, MS, Andrew Tinsley, MD

Abstract: Objectives: Clostridium difficile infection (CDI) is a significant cause of morbidity and mortality and is the most common nosocomial infection in the United States, with associated annual costs of approximately $3 billion. The epidemiology of CDI has changed with the...

(pp 546-549)

Chester Step Test as a Reliable, Reproducible Method of Assessing Physical Fitness of Disaster Deployment Personnel

Michael S. Molloy, MB, MSc Disaster Med (EMDM), Colin M. Robertson, PhD, Gregory R. Ciottone, MD

Abstract: Field disaster response typically is strenuous, difficult work, both physically and mentally.1–3 Although hard evidence is lacking, it may be inferred that responders lacking appropriate physical fitness are at increased risk of injury or compromising safety operations...

(pp 494-496)

Transfusion Practice in Trauma Resuscitation

Ashley M. Eckel, MD, PhD, John R. Hess, MD

Abstract: Recognition of the acute coagulopathy of trauma and the limits of reconstituting whole blood with conventional blood components has led to a radical change in the way trauma patients with severe injuries are resuscitated. Massive transfusion protocols (MTP) have evolved...

(pp 554-558)

Assessing Disaster Preparedness Among Select Children’s Summer Camps in the United States and Canada

Megan Chang, MD, Alan Sielaff, MD, Stuart Bradin, DO, Kevin Walker, MD, Michael Ambrose, MD, Andrew Hashikawa, MD, MS

Abstract: Objective: Children’s summer camps are at risk for multiple pediatric casualties during a disaster. The degree to which summer camps have instituted disaster preparedness is unknown. We assessed disaster preparedness among selected camps nationally for a range of...

(pp 502-508)

Bedside Rounds Valued But Not Preferred: Perceptions of Internal Medicine Residents and Attending Physicians in a Diverse Academic Training Program

Naseema B. Merchant, MD, Daniel G. Federman, MD

Abstract: Objectives: Bedside rounds/rounding (BDR) is an important tool for patient-centered care and trainee education. This study aimed at understanding the attitudes toward BDR among residents and attending physicians. Methods: A survey was conducted using the Qualtrics survey...

(pp 531-537)