Canadian Health&Care Mall

Several alternatives are proposed to deal with the prospective payment issue so that costs can be contained without further dilution in the quality of patient care. Payment should be based on a “severity of illness index” that will gauge the complexity and burden of illness as well as diagnosis. Also recommended is the development of […]

Like the procrustean bed, prospective payment ati tempts to create averages where they do not exist. The intent of prospective payment legislation has been to reduce the alarming rate of increase in health expenditures. An unfortunate consequence, however, may be a deterioration in tertiary care, academic medicine, graduate medical education, and intensive care medicine provided […]

High-altitude pulmonary edema (HAPE) is the leading cause of death from altitude illness. Chest ultrasonography using the comet-tail technique has recently been shown to effectively detect pulmonary edema and quantify extravascular lung water (EVLW) in hospitalized patients. This technique relies on the creation of “comet-tail” artifacts by multiple microreflections of the ultrasound beam within water-thickened […]