Cherokee Nation Sues Opioid Wholesalers, Retailers for Abuse

From US News:

he Cherokee Nation is suing wholesalers and retailers of opioid medications, alleging the companies haven’t done enough to prevent tribal members from acquiring illegally prescribed opioids, which are powerful painkillers.

The lawsuit was filed Thursday in Cherokee Nation District Court, which has jurisdiction within 14 counties in northeast Oklahoma that comprise the Cherokee Nation.

Among other things, it alleges the companies have created conditions in which “vast amounts” of the drugs flow freely from manufacturers to abusers and drug dealers.


Largest National Faith-Based Conference for Entertainment Experts Returns

Contact: Jenna Loumagne, Biola University, 562-777-4061 LA MIRADA, Calif., April 21, 2017 /Christian Newswire/ — Biola Media Conference, the biggest nationwide occasion for folks of belief working in the activity industry, will get back after annually hiatus on April 29, 2017 at Fox Studios in la, Calif. The initial creator associated with the comic book personality Deadpool, Rob Liefeld, director Destin Daniel Cretton, actress Meagan Good are slated to speak at the summit. The Biola Media C Source: Biola University

Uninsured with terrible injuries might treated into destitution

From Reuters:

Whenever a terribly injured patient rolls into the er, Dr. John Scott doesn’t ask to see proof insurance coverage. Alternatively, he instantly starts therapy.

Hospital attention often saves patients from gunshots, stab wounds, crushing motor vehicle collisions as well as other terrible injuries. But Scott present in a new study that 7 out-of 10 adult uninsured trauma clients suffer another debilitating damage: financial disaster.

“We’re improving at injury, and they’re going residence financially ruined,” Scott stated in a phone meeting.


Individual and Neighborhood Characteristics of Children Seeking Emergency Department Care for Firearm Injuries Within the PECARN Network

From Academic Emergency Medicine:

OBJECTIVE:

To describe the characteristics of children seeking emergency care for firearm injuries within the PECARN network, and assess the influence of both individual and neighborhood factors on firearm-related injury risk.

METHODS:

This was a retrospective, multicenter cross-sectional analysis of children (<19-years-old) presenting to 16 pediatric EDs (2004-2008). ICD-9-CM E-codes were used to identify and categorize firearm injuries by mechanism/intent. Neighborhood variables were derived from home address data. Multivariable analysis examined the influence of individual and neighborhood factors on firearm-related injuries as compared to non-firearm ED visits. Injury recidivism was assessed.

RESULTS:

1,758 pediatric ED visits for firearm-related injuries were analyzed. Assault (51.4%, n=904) and unintentional injury (33.2%, n=584) were the most common injury mechanisms. Among children with firearm injuries, 68.3% were older adolescents (15-19 years-old), 82.3% male, 68.2% African-American, and 76.3% received public insurance/were uninsured. Extremity injuries were most common (75.9%), with 20% sustaining injuries to multiple body regions, 48.1% requiring admission, and 1% ED mortality. Multivariable analysis identified firearm injury risk factors, including adolescent age (p<0.001), male gender (p<0.001), non-Caucasian race/ethnicity (p<0.001), public payer/uninsured status (p<0.001), and higher levels of neighborhood disadvantage (p<0.001). Among children with firearm injuries, 12-month ED recidivism for any reason was 22.4%, with <1% returning for another firearm injury.

CONCLUSION:

Among children receiving ED treatment within the PECARN network, there are distinct demographic and neighborhood factors associated with firearm injuries. Among younger children (<10 years old), unintentional injuries predominate, while assault-type injuries were most common among older adolescents. Overall, among this PECARN patient population, male adolescents living in neighborhoods characterized by high-levels of concentrated disadvantage had an elevated risk for firearm injury. Public health efforts should focus on developing and implementing initiatives addressing risk factors at both the individual and community level, including ED-based interventions to reduce the risk for firearm injuries among high-risk pediatric populations. This article is protected by copyright. All rights reserved.