January 2019, Volume 112 - Issue 1

Healthcare Professionals and In-Flight Medical Emergencies: Resources, Responsibilities, Goals, and Legalities as a Good Samaritan

Pascal Joseph de Caprariis, MD, Angela de Caprariis-Salerno, RPh, MS, Claudia Lyon, DO

Abstract: Common in-flight emergencies include syncope, respiratory symptoms, nausea/vomiting, cardiac symptoms, and seizures. Flight conditions, such as changes in air pressure and humidity, can exacerbate existing chronic medical conditions. In 2017, US airlines carried 849.3...

(pp 60-65)

Editor’s Response

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

Abstract: We have elected to publish Dr McCartney’s Letter to the Editor, wherein he advocates for an open market for the sale of kidneys for transplantation, to again stimulate thought and discussion regarding the ethical nuances of organ...

(pp 33)

Frequency, Timing, and Types of Medication Ordering Errors Made by Residents in the Electronic Medical Records Era

Ari Garber, MD, EdD, Amy S. Nowacki, PhD, Alexander Chaitoff, MPH, Andrei Brateanu, MD, Colleen Y. Colbert, PhD, Seth R. Bauer, PharmD, Zubin Arora, MD, Ali Mehdi, MD, Simon Lam, PharmD, Abby Spencer, MD, Michael B. Rothberg, MD, MPH

Abstract: Objectives: To describe associations between resident level of training, timing of medication orders, and the types of inpatient medication ordering errors made by internal medicine residents. Methods: This study reviewed all inpatient medication orders placed by internal...

(pp 25-31)

CME Article: Clinical Utility of Routine Chest X-Rays During the Initial Stabilization of Trauma Patients

David Ong, MD, Michael Cheung, MD, Peter Cuenca, MD, Steven Schauer, DO

Abstract: Objectives: The Advanced Trauma Life Support (ATLS) course encourages the use of chest x-ray (CXR) to identify injuries that may change clinical management during the initial stage of trauma resuscitations. Several studies have failed to show benefit for the routine use of...

(pp 55-59)

Commentary on “Prenatal Contraceptive Counseling by Video”

Maryam Sattari, MD, MS

Abstract: Advances in technology can provide novel platforms for delivering health information and have the potential to transform patient education and counseling. The study by Staley et al in this issue of the Southern Medical Journal examines the impact of video counseling during...

(pp 14-15)

Ebola 101

Faysal Alhasan, MD, Sonali Salunkhe, MD, Steven Lippmann, MD

Abstract: To the Editor: Ebola virus (EBOV) is a zoonotic filovirus, with fruit bats being the animal reservoir. In recent years, there has been an Ebola epidemic in western Africa, yielding a public health crisis.1 Transmission of the virus to humans requires the direct contact of...

(pp 54)

Uterine Surrogacy is Morally Equivalent to Selling a Kidney

Conor McCartney, MD

Abstract: To the Editor: Uterine surrogacy is accepted in the United States, but it is illegal for an individual to financially benefit from donating a kidney to another person. Both provide the gift of life. For surrogacy, it is a newborn child; for transplantation it is longer life...

(pp 32)

Radiologic versus Endoscopic Placement of Gastrostomy Tube: Comparison of Indications and Outcomes at a Tertiary Referral Center

Steven Clayton, MD, Christopher DeClue, MD, Trevor Lewis, MD, Andrea Rodriguez, MD, Kimberly Kolkhorst, DO, Rashid Syed, MD, Ambuj Kumar, MD, MPH, Clifford Davis, MD, Patrick Brady, MD

Abstract: Objectives: Percutaneous gastrostomy tube placement is performed in patients requiring long-term enteral nutrition. Although both endoscopic and fluoroscopic techniques may be used, there are inherent risks and potential complications associated with both procedures that...

(pp 39-44)

A Brochure to Improve Understanding of Incomplete Mammogram Results Among Black Women at a Public Hospital in Miami, Florida

Erin N. Marcus, MD, MPH, Lee M. Sanders, MD, MPH, Beth A. Jones, PhD, MPH, Tulay Koru-Sengul, PhD, MHS

Abstract: Objectives: Black women are at increased risk of being called back for additional studies after a screening mammogram. With focus group input, we developed a brochure to improve awareness of the frequency of abnormal results. This study explored the brochure’s...

(pp 1-7)

Impact of Inpatient Consults by a Family Medicine Teaching Service

Maribeth P. Williams, MD, MS, Charlie Michaudet, MD, Yang Yang, PhD, Kimberly Lynch, BS, Peter J. Carek, MD, MS

Abstract: Objectives: Inpatient consult rates by family physicians significantly affect many aspects of medical care. Limited research has investigated the consultant rate by family medicine residents and their impact on length of stay (LOS) and direct cost. This study examines the...

(pp 21-24)

Children’s Age, Family Conflict, and Children’s HbA1c: Are Girls and Boys Different?

Miryoung Lee, PhD, MPH, Paul R. Breyer, MD, John M. Pascoe, MD, MPH

Abstract: Objective: This study examined the relation between children’s sex, age, family conflict, and children’s glycated hemoglobin A1c (HbA1c). Methods: Parents of children with type 1 diabetes mellitus were recruited from the diabetes clinic of a midwestern children’s...

(pp 16-20)

Patients’ Perceptions of the Role of Physicians in Questioning and Educating in Firearms Safety: Post-FOPA Repeal Era

Laurie A. Boge, DO, Carlos Dos Santos, BA, Justin D. Burkholder, DO, Bradley R. Koschel, DO, Luigi X. Cubeddu, MD, PhD, David A. Farcy, MD

Abstract: Objectives: In this study, we determined patients’ attitudes toward discussing firearms and issues of firearms safety with emergency department physicians. We assessed whether patients feel discriminated against should physicians discuss firearms safety, and whether they...

(pp 34-38)

Evaluation of Patients for Zika Virus Infection in a Travel Clinic in the Southeast United States, 2016

Javier Valle, MD, MPH, Stephanie M. Eick, MPH, Jessica K. Fairley, MD, MPH, Jesse J. Waggoner, MD, Richard A. Goodman, MD, MPH, Eli Rosenberg, PhD, Henry M. Wu, MD

Abstract: Objectives: Zika virus is an emerging infection that has posed vexing challenges to the US public health system. Improved characterization of patients with possible and confirmed infection is needed to better understand risks for infection in US travelers and to inform...

(pp 45-51)

Commentary on “Evaluation of Patients for Zika Virus Infection in a Travel Clinic in the Southeast United States, 2016”

Pablo Guisado-Vasco, MD, PhD

Abstract: In 2016, the World Health Organization declared the ongoing Zika virus outbreak in the Americas, the Caribbean, and the Pacific a public health emergency of international concern after identifying a causal association between Zika virus infection and microcephaly in...

(pp 52-53)

Prenatal Contraceptive Counseling by Video

S. Allison Staley, MD, MPH, Samantha S. Charm, MPH, Laurel B. Slough, DO, MSPH, Matthew L. Zerden, MD, MPH, Jessica E. Morse, MD, MPH

Abstract: Objective: Effective postpartum contraception can improve interpregnancy intervals. Opportunities exist for counseling and education during prenatal care. Few studies have assessed the use of multimedia as a tool to improve long-acting reversible contraception (LARC) use...

(pp 8-13)