A review of 11 international studies showed that health care providers' advanced life-support skills typically fade if not used six months to one year after training. Standard guidelines call for retraining every two years, researchers said. Lance Becker, director at University of Pennsylvania's Center for Resuscitation Science, said retraining every two years has been considered less than optimal by experts for a long time, but evidence from well-designed studies is needed to change guidelines.
An analysis of U.S. National Health Interview Survey results from 1999 to 2009 found that almost 40% of Medicaid beneficiaries visited an emergency department during the previous year compared with 18% of privately insured patients. Researchers noted that an estimated 16% of Medicaid beneficiaries faced one or more challenges in getting primary care, compared with 9% of those covered privately. The study, which involved data from more than 230,000 adults, appears in the Annals of Emergency Medicine.
Together with four other health groups, the ANA endorsed limits on emissions of hazardous air pollutants from U.S. coal- and oil-fired power plants. Power plants are the biggest producers of mercury pollution and can emit more than 80 of 187 pollutants designated for control under the Clean Air Act.