19-07 Segment 1: When Law Enforcement and Trauma Care Collide

RHJ 19-07a wordpress

Many patients arrive in the emergency room as a result of violence or car crashes—events in which police have an investigative interest. Sometimes, police needs clash with trauma care, and priorities are hashed out case by case. Experts discuss which priorities come first and when, and the procedures needed to smooth out sometimes contentious interaction.


  • Dr. Sara Jacoby, Assistant Professor of Family and Community Health, University of Pennsylvania School of Nursing
  • Dr. Michael Gerardi, emergency physician and Past President, American College of Emergency Physicians

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Medical Notes 18-49

Medical Notes this week…

Skin cancer death rates around the world have skyrocketed over the last 30 years… and almost all of the increase is among men. A study presented to the World Congress of Cancers of the Skin shows that among the world’s 18 richest nations, men’s skin cancer deaths have risen by at least 50 percent in eight of them. Among women, the increase is much more modest and in some countries, women’s skin cancer deaths are in decline. Researchers say it appears that men are much less likely to protect themselves against the sun.

People with autoimmune diseases such as psoriasis, systemic lupus, and rheumatoid arthritis have a higher heart attack risk than others… and now doctors believe they’ve found one reason. A study in the journal Cell Metabolism finds that the culprit is an overabundance of an immune molecule called IL-17. Researchers say the molecule prompts the walls of the blood vessels to store too much collagen… trapping cholesterol and making the blood vessels stiff. A number of drugs which target the immune molecule are already on the market.

And finally… if you’ve ever been to the emergency room in a lot of pain, you’ve probably had to choose your pain level based on the “smiley face” scale. But now doctors are working on a more objective measure of pain. A study presented to the Society for Neuroscience shows that using scalp electrodes and an EEG to measure specific brain waves is much more accurate, and could help people to more quickly get the pain medication they need.

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16-02 Segment 1: Violence against healthcare workers


Synopsis: Healthcare workers are about four times more likely than workers in any other field to be attacked on the job, usually by patients or family members, and most often in the emergency department. Experts discuss how and why attacks occur and how hospitals and health care workers can do a better job preventing them.

Host: Reed Pence. Guests: Lisa Wolf, Director, Institute for Emergency Nursing Research, Emergency Nurses Association.; Dr. Christopher Michos, Connecticut emergency medicine physician; Dr. Ronald Wyatt, Medical Director, Division of Healthcare Improvement, The Joint Commission

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Click here for the transcript