It’s hard to discuss the current measles outbreaks without pointing out what experts see as the primary reason for the recurrence of a disease that had been largely vanquished, at least in this country.
Much of the discussion surrounding emergency medicine seems to focus on how to keep lower-acuity patients out of the ED, or at least how to move them through to discharge faster. While it is true that many EDs see a high percentage of low-acuity or fast-track patients, there are also EDs that are overwhelmed with patients at the other end of the acuity spectrum. The University of Michigan Health System’s (UMHS) adult ED in Ann Arbor is a case in point.
While the Massey Emergency Critical Care Center (EC3) at the University of Michigan Health System (UMHS) in Ann Arbor has only just opened its doors, planning for the unit has been a multi-year, multidisciplinary effort, explains Jennifer Gegenheimer-Holmes, RN, BSN, MHSA, CEN, the director of operations for the Department of Emergency Medicine at UMHS. “We created an emergency critical care advisory group [which includes] the medical directors of the adult ICUs here, respiratory therapy, and our physician leads within the ED,” she says.
A new study suggests that Fusobacterium necrophorum, the bacterium associated with a “forgotten disease,” is, in fact, the cause of more sore throats than the more commonly considered Group A strep bacterium among the college-aged population. Researchers, led by Robert Centor, MD, a professor in the Division of General Internal Medicine at the University of Alabama at Birmingham (UAB) and a noted authority on sore throats, strongly urge frontline providers, such as those who serve in EDs across the country, to consider F. necrophorum when evaluating young adults with pharyngitis, and to treat accordingly.1