Latest news with #EmergencyRoom
The Hill
6 days ago
- Health
- The Hill
Tick-related ER visits are spiking this summer: How to protect yourself
(NEXSTAR) – Visits to the Emergency Room for tick bites this summer are spiking well above those of previous years, Centers for Disease Control and Prevention Data (CDC) shows. CDC statistics, compiled in collaboration with local and state health departments, show that this summer's visits are higher than every year except 2017, the earliest year in the CDC tracker. The majority of cases have been recorded in the Northeast, followed by the Midwest and Southeast, respectively. Data shows that children under 10 and adults over 70 had the highest rates of ER trips for tick bites. 'Humans are outside more in summer so we hear about more tick infections,' said Sam Telford, an infectious diseases expert at Tufts University. But he urges caution year-round because 'every season is tick season.' While tick populations vary a lot regionally, some Northeastern states including Maine, Massachusetts and Rhode Island are seeing 'above average' numbers of American dog ticks this year, said Telford. And New York state is seeing a higher number of reported deer tick bites this year than last year, said Saravanan Thangamani, who studies tick-borne diseases at SUNY Upstate Medical University. While tick bites are potentially dangerous, it doesn't mean people need to stop enjoying the outdoors. 'There are a number of things we can do to help prevent potential contraction of Lyme disease and prevent [a] tick bite,' according to Dr. Christopher Bazzoli, an emergency medicine physician at Cleveland Clinic. 'We start with clothing, making sure the clothing is tucked in, good fitting socks, pants, long pants, long sleeve shirts, and then repellents are very effective.' Bazzoli says ticks are attracted to moist, warm areas like under the arms or behind the knees. When checking for ticks, however, every inch should be examined, including one's head. Should you find a tick, Bazzoli recommends using tweezers and getting them as close as possible to the skin before pulling the tick straight up. If it doesn't come out clean, tweezers can be used to take out the rest. 'After we remove a tick, there's now a break in the skin, and just like any other break in the skin, we need to be careful to prevent a secondary bacterial infection. And so, washing that area with warm and soapy water is really important,' according to Bazzoli. Symptoms that should be checked out by a doctor include rash, fever, headache or fatigue. Finally, don't forget your furry friends, Bazzoli said. Make sure to check them thoroughly, including under the collar and between the toes. The Associated Press contributed to this report.
Yahoo
04-07-2025
- Health
- Yahoo
Rural hospitals brace for financial hits or even closure under Republicans' $1 trillion Medicaid cut
OMAHA, Neb. (AP) — Tyler Sherman, a nurse at a rural Nebraska hospital, is used to the area's aging farmers delaying care until they end up in his emergency room. Now, with Congress planning around $1 trillion in Medicaid cuts over 10 years, he fears those farmers and the more than 3,000 residents of Webster County could lose not just the ER, but also the clinic and nursing home tied to the hospital. 'Our budget is pretty heavily reliant on the Medicaid reimbursement, so if we do see a cut of that, it'll be difficult to keep the doors open,' said Sherman, who works at Webster County Community Hospital in the small Nebraska town of Red Cloud just north of the Kansas border. If those facilities close, many locals would see their five-minute trip to Webster County hospital turn into a nearly hour-long ride to the nearest hospital offering the same services. 'That's a long way for an emergency,' Sherman said. 'Some won't make it.' Already struggling hospitals would be hit particularly hard States and rural health advocacy groups warn that cutting Medicaid — a program serving millions of low-income and disabled Americans — would hit already fragile rural hospitals hard and could force hundreds to close, stranding some people in remote areas without nearby emergency care. More than 300 hospitals could be at risk for closure under the Republican bill, according to an analysis by the Cecil G. Sheps Center at the University of North Carolina at Chapel Hill, which tracks rural hospital closures. Even as Congress haggled over the controversial bill, a health clinic in the southwest Nebraska town of Curtis announced Wednesday it will close in the coming months, in part blaming the anticipated Medicaid cuts. Bruce Shay, of Pomfret, Connecticut, fears he and his wife could be among those left in the lurch. At 70, they're both in good health, he said. But that likely means that if either needs to go to a hospital, 'it's going to be an emergency.' Day Kimball Hospital is nearby in Putnam, but it has faced recent financial challenges. Day Kimball's CEO R. Kyle Kramer acknowledged that a Senate bill passed Tuesday — estimated to cut federal Medicaid spending in rural areas by $155 billion over 10 years — would further hurt his rural hospital's bottom line. Roughly 30% of Day Kimball's current patients receive Medicaid benefits, a figure that's even higher for specific, critical services like obstetrics and behavioral health. 'An emergency means I'm 45 minutes to an hour away from the nearest hospital, and that's a problem," Shay said. And he and his wife wouldn't be the only ones having to make that trip. 'You've got, I'm sure, thousands of people who rely on Day Kimball Hospital. If it closed, thousands of people would have to go to another hospital,' he said. 'That's a huge load to suddenly impose on a hospital system that's probably already stretched thin.' Experts say the bill's $50 billion fund for rural hospitals isn't enough Rural hospitals have long operated on the financial edge, especially in recent years as Medicaid payments have continuously fallen below the actual cost to provide health care. More than 20% of Americans live in rural areas, where Medicaid covers 1 in 4 adults, according to the nonprofit KFF, which studies health care issues. President Donald Trump's $4.5 trillion tax breaks and spending cuts bill, which passed Thursday, would worsen rural hospitals' struggles by cutting a key federal program that helps states fund Medicaid payments to health care providers. To help offset the lost tax revenue, the package includes $1.2 trillion in cuts to Medicaid and other social safety net programs — cuts they insist only root out fraud and waste in the system. But public outcry over Medicaid cuts led Republicans to include a provision that will provide $10 billion annually to buttress rural hospitals over the next five years, or $50 billion in total. Many rural hospital advocates are wary that it won't be enough to cover the shortfall. Carrie Cochran-McClain, chief policy officer with the National Rural Health Association, said rural hospitals already struggle to break even, citing a recent American Hospital Association report that found that hospitals in 2023 got nearly $28 billion less from Medicaid than the actual cost of treating Medicaid patients. 'We see rural hospitals throughout the country really operating on either negative or very small operating margins," Cochran-McClain said. "Meaning that any amount of cut to a payer — especially a payer like Medicaid that makes up a significant portion of rural provider funding — is going to be consequential to the rural hospitals' ability to provide certain services or maybe even keep their doors open at the end of the day.' Kentucky is expected to be hit especially hard A KFF report shows 36 states losing $1 billion or more over 10 years in Medicaid funding for rural areas under the Republican bill, even with the $50 billion rural fund. No state stands to lose more than Kentucky. The report estimates the Bluegrass State would lose a whopping $12.3 billion — nearly $5 billion more than the next state on the list. That's because the bill ends Kentucky's unique Medicaid reimbursement system and reduces it to Medicare reimbursement levels. Kentucky currently has one of the lowest Medicare reimbursement rates in the country. It also has one of the highest poverty rates, leading to a third of its population being covered by Medicaid. Kentucky Gov. Andy Beshear, a two-term Democrat widely seen as a potential candidate for president in 2028, said the bill would close 35 hospitals in his state and pull health care coverage for 200,000 residents. 'Half of Kentucky's kids are covered under Medicaid. They lose their coverage and you are scrambling over that next prescription,' Beshear said during an appearance on MSNBC. 'This is going to impact the life of every single American negatively. It is going to hammer our economy." ___ Haigh reported from Hartford, Connecticut. Margery A. Beck And Susan Haigh, The Associated Press Error in retrieving data Sign in to access your portfolio Error in retrieving data Error in retrieving data Error in retrieving data Error in retrieving data
Associated Press
04-07-2025
- Health
- Associated Press
Rural hospitals brace for financial hits or even closure under Republicans' $1 trillion Medicaid cut
OMAHA, Neb. (AP) — Tyler Sherman, a nurse at a rural Nebraska hospital, is used to the area's aging farmers delaying care until they end up in his emergency room. Now, with Congress planning around $1 trillion in Medicaid cuts over 10 years, he fears those farmers and the more than 3,000 residents of Webster County could lose not just the ER, but also the clinic and nursing home tied to the hospital. 'Our budget is pretty heavily reliant on the Medicaid reimbursement, so if we do see a cut of that, it'll be difficult to keep the doors open,' said Sherman, who works at Webster County Community Hospital in the small Nebraska town of Red Cloud just north of the Kansas border. If those facilities close, many locals would see their five-minute trip to Webster County hospital turn into a nearly hour-long ride to the nearest hospital offering the same services. 'That's a long way for an emergency,' Sherman said. 'Some won't make it.' Already struggling hospitals would be hit particularly hard States and rural health advocacy groups warn that cutting Medicaid — a program serving millions of low-income and disabled Americans — would hit already fragile rural hospitals hard and could force hundreds to close, stranding some people in remote areas without nearby emergency care. More than 300 hospitals could be at risk for closure under the Republican bill, according to an analysis by the Cecil G. Sheps Center at the University of North Carolina at Chapel Hill, which tracks rural hospital closures. Even as Congress haggled over the controversial bill, a health clinic in the southwest Nebraska town of Curtis announced Wednesday it will close in the coming months, in part blaming the anticipated Medicaid cuts. Bruce Shay, of Pomfret, Connecticut, fears he and his wife could be among those left in the lurch. At 70, they're both in good health, he said. But that likely means that if either needs to go to a hospital, 'it's going to be an emergency.' Day Kimball Hospital is nearby in Putnam, but it has faced recent financial challenges. Day Kimball's CEO R. Kyle Kramer acknowledged that a Senate bill passed Tuesday — estimated to cut federal Medicaid spending in rural areas by $155 billion over 10 years — would further hurt his rural hospital's bottom line. Roughly 30% of Day Kimball's current patients receive Medicaid benefits, a figure that's even higher for specific, critical services like obstetrics and behavioral health. 'An emergency means I'm 45 minutes to an hour away from the nearest hospital, and that's a problem,' Shay said. And he and his wife wouldn't be the only ones having to make that trip. 'You've got, I'm sure, thousands of people who rely on Day Kimball Hospital. If it closed, thousands of people would have to go to another hospital,' he said. 'That's a huge load to suddenly impose on a hospital system that's probably already stretched thin.' Experts say the bill's $50 billion fund for rural hospitals isn't enough Rural hospitals have long operated on the financial edge, especially in recent years as Medicaid payments have continuously fallen below the actual cost to provide health care. More than 20% of Americans live in rural areas, where Medicaid covers 1 in 4 adults, according to the nonprofit KFF, which studies health care issues. President Donald Trump's $4.5 trillion tax breaks and spending cuts bill, which passed Thursday, would worsen rural hospitals' struggles by cutting a key federal program that helps states fund Medicaid payments to health care providers. To help offset the lost tax revenue, the package includes $1.2 trillion in cuts to Medicaid and other social safety net programs — cuts they insist only root out fraud and waste in the system. But public outcry over Medicaid cuts led Republicans to include a provision that will provide $10 billion annually to buttress rural hospitals over the next five years, or $50 billion in total. Many rural hospital advocates are wary that it won't be enough to cover the shortfall. Carrie Cochran-McClain, chief policy officer with the National Rural Health Association, said rural hospitals already struggle to break even, citing a recent American Hospital Association report that found that hospitals in 2023 got nearly $28 billion less from Medicaid than the actual cost of treating Medicaid patients. 'We see rural hospitals throughout the country really operating on either negative or very small operating margins,' Cochran-McClain said. 'Meaning that any amount of cut to a payer — especially a payer like Medicaid that makes up a significant portion of rural provider funding — is going to be consequential to the rural hospitals' ability to provide certain services or maybe even keep their doors open at the end of the day.' Kentucky is expected to be hit especially hard A KFF report shows 36 states losing $1 billion or more over 10 years in Medicaid funding for rural areas under the Republican bill, even with the $50 billion rural fund. No state stands to lose more than Kentucky. The report estimates the Bluegrass State would lose a whopping $12.3 billion — nearly $5 billion more than the next state on the list. That's because the bill ends Kentucky's unique Medicaid reimbursement system and reduces it to Medicare reimbursement levels. Kentucky currently has one of the lowest Medicare reimbursement rates in the country. It also has one of the highest poverty rates, leading to a third of its population being covered by Medicaid. Kentucky Gov. Andy Beshear, a two-term Democrat widely seen as a potential candidate for president in 2028, said the bill would close 35 hospitals in his state and pull health care coverage for 200,000 residents. 'Half of Kentucky's kids are covered under Medicaid. They lose their coverage and you are scrambling over that next prescription,' Beshear said during an appearance on MSNBC. 'This is going to impact the life of every single American negatively. It is going to hammer our economy.' ___ Haigh reported from Hartford, Connecticut.
CNN
05-06-2025
- Health
- CNN
Texas hospital that discharged woman with doomed pregnancy violated the law, a federal inquiry finds
A Texas hospital that repeatedly sent a woman who was bleeding and in pain home without ending her nonviable, life-threatening pregnancy violated the law, according to a newly released federal investigation. The government's findings, which have not been previously reported, were a small victory for 36-year-old Kyleigh Thurman, who ultimately lost part of her reproductive system after being discharged without any help from her hometown emergency room for her dangerous ectopic pregnancy. But a new policy the Trump administration announced on Tuesday has thrown into doubt the federal government's oversight of hospitals that deny women emergency abortions, even when they are at risk for serious infection, organ loss or severe hemorrhaging. Thurman had hoped the federal government's investigation, which issued a report in April after concluding its inquiry last year, would send a clear message that ectopic pregnancies must be treated by hospitals in Texas, which has one of the nation's strictest abortion bans. 'I didn't want anyone else to have to go through this,' Thurman said in an interview with the Associated Press from her Texas home this week. 'I put a lot of the responsibility on the state of Texas and policy makers and the legislators that set this chain of events off.' Women around the country have been denied emergency abortions for their life-threatening pregnancies after states swiftly enacted abortion restrictions in response to a 2022 ruling from the U.S. Supreme Court, which includes three appointees of President Donald Trump. The guidance issued by the Biden administration in 2022 was an effort to preserve access to emergency abortions for extreme cases in which women were experiencing medical emergencies. It directed hospitals — even ones in states with severe restrictions — to provide abortions in those emergency cases. If hospitals did not comply, they would be in violation of a federal law and risk losing some federal funds. The Centers for Medicare and Medicaid Services, the federal agency responsible for enforcing the law and inspecting hospitals, announced on Tuesday it would revoke the Biden-era guidance around emergency abortions. CMS administrator Dr. Mehmet Oz said in a social media post on Wednesday that the revocation of the policy would not prevent pregnant women from getting treatment in medical emergencies. 'The Biden Administration created confusion, but EMTALA is clear and the law has not changed: women will receive care for miscarriage, ectopic pregnancy, and medical emergencies in all fifty states—this has not and will never change in the Trump Administration,' Oz wrote, using the acronyms for the Emergency Medical Treatment and Labor Act. The law, which remains intact and requires doctors to provide stabilizing treatment, was one of the few ways that Thurman was able to hold the emergency room accountable after she didn't receive any help from staff at Ascension Seton Williamson in Round Rock, Texas in February of 2023, a few months after Texas enacted its strict abortion ban. Emergency room staff observed that Thurman's hormone levels had dropped, a pregnancy was not visible in her uterus and a structure was blocking her fallopian tube — all telltale signs of an ectopic pregnancy, when a fetus implants outside of the uterus and has no room to grow. If left untreated, ectopic pregnancies can rupture, causing organ damage, hemorrhage or even death. Thurman, however, was sent home and given a pamphlet on miscarriage for her first pregnancy. She returned three days later, still bleeding, and was given an injected drug intended to end the pregnancy, but it was too late. Days later, she showed up again at the emergency room, bleeding out because the fertilized egg growing on Thurman's fallopian tube ruptured it. She underwent an emergency surgery that removed part of her reproductive system. CMS launched its investigation of how Ascension Seton Williamson handled Thurman's case late last year, shortly after she filed a complaint. Investigators concluded the hospital failed to give her a proper medical screening exam, including an evaluation with an OB-GYN. The hospital violated the federal Emergency Medical Treatment and Labor Act, which requires emergency rooms to provide stabilizing treatment to all patients. Thurman was 'at risk for deterioration of her health and wellbeing as a result of an untreated medical condition,' the investigation said in its report, which was publicly released last month. Ascension, a vast hospital system that has facilities across multiple states, did not respond to questions about Thurman's case, saying only that it is 'is committed to providing high-quality care to all who seek our services.' Doctors and legal experts have warned abortion restrictions like the one Texas enacted have discouraged emergency room staff from aborting dangerous and nonviable pregnancies, even when a woman's life is imperiled. The stakes are especially high in Texas, where doctors face up to 99 years in prison if convicted of performing an illegal abortion. Lawmakers in the state are weighing a law that would remove criminal penalties for doctors who provide abortions in certain medical emergencies. 'We see patients with miscarriages being denied care, bleeding out in parking lots. We see patients with nonviable pregnancies being told to continue those to term,' said Molly Duane, an attorney at the Center for Reproductive Rights that represented Thurman. 'This is not, maybe, what some people thought abortion bans would look like, but this is the reality.' The Biden administration routinely warned hospitals that they need to provide abortions when a woman's health was in jeopardy, even suing Idaho over its state law that initially prohibited nearly all abortions, unless a woman's life was on the line. But CMS' announcement on Tuesday raises questions about whether such investigations will continue if hospitals do not provide abortions for women in medical emergencies. The agency said it will still enforce the law, 'including for identified emergency medical conditions that place the health of a pregnant woman or her unborn child in serious jeopardy.' While states like Texas have clarified that ectopic pregnancies can legally be treated with abortions, the laws do not provide for every complication that might arise during a pregnancy. Several women in Texas have sued the state for its law, which has prevented women from terminating pregnancies in cases where their fetuses had deadly fetal anomalies or they went into labor too early for the fetus to survive. Thurman worries pregnant patients with serious complications still won't be able to get the help they may need in Texas emergency rooms. 'You cannot predict the ways a pregnancy can go,' Thurman said. 'It can happen to anyone, still. There's still so many ways in which pregnancies that aren't ectopic can be deadly.'
Chicago Tribune
10-05-2025
- Politics
- Chicago Tribune
At least 20 people killed in Sudan after a suspected drone strike hits a prison
CAIRO — A suspected drone strike launched by Sudan's paramilitary Rapid Support Forces hit a prison in the southern region of Kordofan on Saturday and killed at least 20 inmates, authorities said. Fifty other detainees were wounded in the attack on the main prison in Obeid, the capital city of North Kordofan, Information Minister Khalid Aleiser said in a statement. Aleiser, who is also the spokesman of the military-allied government, accused the Rapid Support Forces for the attack, which came as the group escalates drone strikes on the military-held areas across the country. Sudan plunged into civil war on April 15, 2023, when simmering tensions between the military and the RSF exploded into open warfare in the capital Khartoum and other parts of the country. Obeid is 363 kilometers (225 miles) south of Khartoum. There was no immediate comment from the RSF, which earlier this month launched multi-day drone attack on Port Sudan, the Red Sea city serving as an interim seat for the Sudanese government. The strikes hit the city's airports, maritime port and other facilities including fuel storages. The military earlier struck Nyala airport in South Darfur, where the RSF receives foreign military assistance, including drones. Local media say dozens of RSF officers were killed in last week's strike. In the western region of Darfur, an artillery attack by the RSF on Friday on a camp for displaced people killed at least 14, according to the Emergency Room, an activist group tracking the war. The dead included two parents, their eight children and the children's grandmother, the group said. The RSF has launched nearly daily attacks on the camp and the nearby city of el-Fasher, the provincial capital of North Darfur, which the paramilitaries have attempted to seize for more than a year. Last month the RSF rampaged through Sudan's largest camp for displaced, Zamzam, killing more than 400 people. The fighter group took control of the camp, pushing its population to flee. The war has killed at least 24,000 people, though the number is likely far higher. It has driven about 13 million people from their homes, including 4 million who crossed into neighboring countries. Parts of the country have been pushed into famine. The fighting has been marked by atrocities including mass rape and ethnically motivated killings that amount to war crimes and crimes against humanity, especially in Darfur, according to the U.N. and international rights groups.
