Second Look

If you missed these news items the first time around, AAOS Now gives you a second chance to review them.

Headline News Now, the AAOS thrice-weekly, online update of news of interest to orthopaedic surgeons, brings you the latest on clinical, socioeconomic, and political issues, as well as important announcements from AAOS.

Study finds inappropriate transfers to trauma centers
study published in the Journal of the American College of Surgeons finds that many patients with minimal injuries are being transferred to trauma centers from community hospitals, despite the fact that community hospitals are capable of dealing with those injuries. Authors conducted a retrospective cohort study of trauma registry data on 9,064 patients. Of those, 6,875 patients (76 percent) arrived directly from the scene, and 2,189 patients (24 percent) were transferred. Overall, the transferred group was more severely injured, but most (64 percent) had sustained minor injuries, and 824 patients (39 percent) met secondary overtriage criteria, which was defined as patients transferred from another hospital emergency department to a trauma receiving unit who had an injury severity score less than 10, who did not require an operation, and who were discharged to home within 48 hours of admission. Researchers suggest that the trend may be a result of recent changes in the Emergency Medical and Active Labor Treatment Act (EMTALA), to no longer require community hospitals to provide emergency specialty coverage.

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