Download Drixine No Drip Formmulaa The nasaal spray thhat stayss wheree it

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Medicine
in the
media
■ Page 2
Friday 14 September 2012
Study finds why ED patients fail to see GP for follow-up
■ Michael Woodhead
M
ore than half of
patients discharged
from emergency
departments do not seek follow
up care from a GP despite being
advised to do so, a NSW study
shows.
Failure to follow up with a
GP after ED discharge was
particularly common in patients
who had not been given a reason
why they should see their family
doctor, a survey (link) of more
than 200 patients treated at St
George’s Hospital emergency
department found.
Not having a regular GP and
being frail or physically impaired
were other factors linked to not
seeing a GP, according to a study
published in Emergency Medicine
Australasia.
The survey of 217 patients who
were discharged with advice to
seek follow up from a GP found
that only 47% actually did so.
When asked to give the reason
for not following up, 65% of
patients said they did not think
it was necessary to see a GP and
13% said they didn’t have time.
The study authors say their
findings show there is a need
for better communication with
patients, and in particular a need
for all patients to be given a clear
reason why the need to seek
follow up care with a GP.
The finding that many patients
lacked a regular GP suggest
that these patients need to be
identified and given alternative
options to complete their
treatment.
What do you think?
[email protected]
Emergency response plans should involve GPs: AMA
■ Megan Reynolds
The government should recognise
the capacity for GPs to provide
emergency medical assistance
by including local primary
healthcare practitioners in
response plans every step of the
way, the AMA says.
In two position statements
on the ‘Involvement of GPs in
Disaster and Emergency Planning’
(link) and ‘Supporting GPs in the
Immediate Aftermath of Natural
Disaster’ (link) released yesterday,
the AMA calls for GPs to be
included in the development of
emergency response plans and
actively engaged in response
efforts when disaster strikes. The
needs of their practices should be
also considered when preparing
for a natural disaster, it says.
“When a crisis hits and
there are injuries, GPs and
The role of GPs is
not recognised
other doctors make themselves
available to see their patients,
patients not able to see their
own doctors, backfill positions
in hospitals, provide on-the
ground-assistance in emergency
locations and in emergency
accommodation, and they treat
the walking wounded – both the
rescued and rescuers,” AMA
Federal president Dr Steve
Hambleton said in a statement.
“Despite this strong record of
volunteerism, the role of GPs in
emergency response situations
is not well understood by
governments, and GPs have not
had enough input into disaster
planning.”
Medical practitioners were
turned away when they
responded to the train crash
that killed 11 people in Kerang,
northern Victoria in 2007,
because local doctors were
not included in the emergency
response plan, an inquest at the
time heard.
What do you think?
[email protected]
b ef
TGA stands by Digesic ban
The TGA has affirmed
its decision (link) to ban
dextropropoxyphene analgesics
and has rejected a bid by the
manufacturer of Digesic to keep
the drug on the market.
Rejection for asylum
seeker medical panel
An AMA-sponsored proposal
by the Greens for an
independent medical panel
to oversee the care of asylum
seekers in detention has been
rejected in the Senate.
Instant noodles a scalding
risk for children
The boiling water used for
instant noodles is responsible
for one in 20 cases of burns in
children, research by the Burns
Unit at Sydney’s Children's
Hospital at Westmead has
shown. Cup and pot noodles
had the highest temperatures
and one in three children got
inadequate first aid, their study
(link) found.
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Drixine No
o Drip Form
mula
a
The nasa
al spray th
hat stayss whe
ere
e it sprays*
*No Drip Formula is designed to stay where it sprays. Drixine No Drip Formula contains oxymetazoline HCI.
© 2012 MSD Consumer Care, Inc. All rights reserved. RESP-1010959-0019 05/2012. MDRI0045/6M
1
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Medicine in the media 
HIV physician Dr Wendell
Rosevear has resigned from
the Queensland Health Minister
Lawrence Springborg’s Ministerial
Advisory Committee on HIV/AIDS
saying he will not be be "a rubber
stamp" for a pre-arranged agenda.
Star Observer.
Queensland hospital staff are
hiding in toilets to avoid talking to
managers about redundancy.
Townsville Bulletin.
Falls accounted for 21% of
admissions to WA’s Major
Trauma Service at Royal Perth
Hospital, and the State Trauma
Centre director says minor falls
should prompt a GP visit to discuss
preventative measures.
The West Australian.
The Cancer Council of Victoria is
calling for sun beds to be banned
and the Victorian Co-operative
Oncology Group is also calling on
the State Government to help work
towards a national ban on sun beds.
ABC.
The AMA (NT) president Dr
Peter Beaumont has called for
the decriminalisation of cannabis
and ecstasy to be trialled in the NT.
NT News.
Patients being discharged
from Mount Gambier and Port
Augusta hospitals in SA can now
leave with up to a month’s supply of
medicines following the launch of
a new initiative aimed at improving
access to medications.
ABC News.
Surgeons left a surgical
instrument inside a patient's
abdomen, in what ACT Health says
was a catastrophic mistake.
Canberra Times.
Personalised medical treatment
tailored to fit a person’s genetic
profile for conditions such as
juvenile arthritis, leukaemia and
colon cancer will be developed
by a new research centre at the
Walter and Eliza Hall Institute in
Melbourne.
The Age.
Catholic Cardinal George Pell
told the RANZCOG conference
that the contraceptive pill
increases a woman’s risk of
cancer, but he was accused
by another eminent speaker,
Professor Robert Winston, of
being misleading.
The Age.
Doctors and nurses in
Queensland should expect
redundancies, says Premier
Campbell Newman and he
used a comparison with garbage
collectors who can now do the
job with smaller crews because of
technology.
Brisbane Times.
Men are being encouraged to
have regular prostate checks by
Dr Anthony Lowe, the CEO of
the Prostate Cancer Foundation
of Australia.
ABC.
Blood tests to diagnose
Alzheimer's, Parkinson's and
CJD could be closer following
a breakthrough by Australian
researchers who have identified
exosomes released by cells infected
with prions.
The Australian.
Pressures on Gladstone's
troubled health sector are set
to ease following the introduction
of new GPs and the start of work
on the new Superclinic.
Gladstone Observer.
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conversation
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© 2012 MSD Consumer Care, Inc. All rights reserved. RESP-1010959-0020 05/2012. MDRI0045/6M
2
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Your say ...
Ambos swamped by
elderly fall injuries (link)
Routine screening will
find AF in elderly (link)
What's wrong with just careful
palpation of pulses with ECGs
only for those with irregularity?
Docmus
I palpate the pulse when taking
blood pressures. If it is irregular I
proceed to an ECG.
Not quite sure why you need
to perform ECG screening on
everyone.
Costs: ECG rebate $30.65 x 150 =
$4597.50 vs $30.65 per diagnosis.
Dr Steven Rudolphy
Mt Sheridan Medical Practice
Cairns
I wonder who determined that
these patients really didn't
need to call out an ambulance?
I would like to see the same
study published where a GP had
spoken to patient and family
afterwards and decided on that
assessment whether the callout
was justifiable or not.
Often there is no-one around
who is physically capable of
getting the person off the floor
and an ambulance callout ends
up being necessary for that
reason alone unfortunately. A
fall is sometimes the harbinger
of problems such as CVA or MI
and it is not easy for the elderly
partner to make that decision/
assessment at the time of the fall.
Donough O’Donovan
Polypharmacy is a significant
culprit in falls in the elderly.
The combination of medications
that can sedate or lower BP
greatly increases the falls risk.
I see a lot of older people in
hospital (working as an addiction
medicine specialist) following
falls who are on benzodiazepines
and narcotics as well as multiple
other medication - as doctors
we need to realise that we can
increase the risk of harm with
the medications we prescribe,
and look very closely at the
indications for prescribing.
TracyS
Queensland
government to cut 4000
health jobs (link)
My guess is axeing administrative
positions at their "corporate head
offices" will improve productivity
tremendously.
I wish somebody had the guts
and foresight to axe most of
NSW health's administrative
positions so that we front line
health professionals finally can
get on with our jobs without
constantly being hindered
and molested by pointless
bureaucracy.
Horst Herb
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Editor: [email protected]
Advertising: [email protected]
Drixine No Drip Formula provides non-drowsy relief from nasal congestion due to allergies, sinusitis,
cold and flu. It works within minutes and lasts for up to 12 hours. And because it is
designed to stay where it sprays, it helps prevent that nasty tasting drip down the back of the throat.
The nasal sp
pray tha
at stays where it sp
pra
ays
Always read the label. Use only as directed. If symptoms persist, see your healthcare professional.
Drixine No Drip Formula contains oxymetazoline HCI. © 2012 MSD Consumer Care, Inc. All rights reserved. RESP-1010959-0019 MDRI0045/6M 5/2012.
4