Louisiana Medical Mutual Insurance Company (LAMMICO)

Sepsis: Early Recognition and Treatment

Sepsis remains a time-critical emergency. As with stroke, trauma and heart attack, the identification and response to sepsis should be urgent and protocol-based. This course discusses how mortality has been reduced where multidisciplinary hospital teams have implemented screening tools, standardized…

Burnout in Health Care: Swimming in Turbulent Water

The incidence of burnout has risen to the extent that 40% to 70% of physician and nurse populations have at least one symptom of burnout. Researchers are finding that healthcare systems changes must accompany personal resilience strategies before we will…

Acute Chest Pain: Evaluating Patients and Stratifying Risks

Chest pain is the second most common presenting complaint in the ED accounting for 6 million visits in the US annually and about 2 million of them are discharged to home from the Emergency Department. Of those patients discharged to…

Surgeons and Burnout

Between 40% and 65% of surgeons are suffering from at least one symptom of burnout, according to a recent national study. Evidence indicates that burned-out surgeons are more likely to experience negative personal consequences such as addictions, sleep disorders, cardiovascular…

Escalation of Care: A Quality Improvement Initiative

Surgical residents do not always call the attending physician about critical patient events, believing that it is not necessary or that the call will not be welcome. Failure to call for help is associated with failure to rescue, adverse events…

Controlled Substances Series: Drug Diversion Prevention

Prescription drug diversion is a serious problem and fuels the current US epidemic of drug misuse, abuse, and addiction. Healthcare practitioners need to be able to identify and prevent drug diversion in their practices, by patients or staff members. This…

Controlled Substances Series: Best Practices for Prescribing

While concerns about the opioid epidemic are paramount, many other controlled substances are being misused and abused. Part one of this course describes the best practices and special considerations necessary for prescribing any controlled dangerous substance. Medication reconciliation and the…

EFM Case Study Series #18: Hypertensive Crisis & Stroke

Hypertensive crisis and stroke are on the rise in the pregnant population. Over the past 20 years, the incidence of preeclampsia has increased by approximately 25% in the US and is the leading cause of maternal and infant illness and…

Statins: What to Recommend When Guidelines Conflict?

More than 21% of US adults take lipid-lowering statin medications; however, the CDC states that many more people should be doing so. But who is eligible? The guidelines of the USPSTF, the American College of Cardiology/American Heart Association and the…

VIP Syndrome: A Moral Dilemma

Managing the care of an influential or famous person can be challenging and may introduce a moral dilemma. Think about the healthcare situations involving celebrities that have been in the news recently. When a “very important person/patient” shows up for…