Understanding Basic Traumatic Injuries

A resident of College Station, Texas, Dr. Anthony Amoroso provides emergency care that helps safeguard the lives of patients, many of whom have experienced serious illness or traumatic injury. Dr. Anthony Amoroso is knowledgeable on the various types of trauma, which can involve soft tissue injuries, fractures, concussions, and other types of head injuries. 

Trauma sustained on the road may involve impact with the car or truck's interior, or penetrating injuries that occur when loose objects or broken glass enter and become lodged in the patient’s body. Considering the speed at which the accident occurred and the type of vehicle involved, many apparently minor road injuries should still be looked at by an experienced physician without delay. 

Another major type of traumatic injury involves slips and falls, which can occur in nearly any environment. While many such accidents involve minor injuries, they often turn out have a significant impact. This is particularly true when hard surfaces, heights, or running are involved. 

Among the elderly, slip and fall traumas that seem relatively mild can cause fractures in brittle bones, as well as serious conditions such as internal bleeding. For this reason, it makes sense to bring even small incidents to the attention of a consulting physician, so that potential traumas can be be evaluated in a timely manner.

What is a Critical Access Hospital?

A board-certified emergency medicine physician in Texas, Dr. Anthony Amoroso practices with U.S. Acute Care Solutions. In this capacity, he primarily works in a level-two trauma center that sees approximately 60,000 patients each year. Dr. Anthony Amoroso is also credentialed to work at various critical access hospitals in Texas.

A critical access hospital (CAH) is specifically designated as such by the Centers for Medicare and Medicaid Services (CMS). This designation dates back to the Balanced Budget Act of 1997 and was created to improve access to health care in rural communities and to lower rural hospitals’ financial vulnerability. Hospitals that earn this designation receive various benefits, including reimbursement for Medicare services.

Hospitals that are eligible for the CAH designation must maintain up to 25 swing and/or acute inpatient care beds and provide emergency care to patients 24 hours a day, seven days a week. In addition, these hospitals must be in rural locations and have an average stay of 96 hours or less each year.

When to Go to the Emergency Room for a Fever

Dr. Anthony Amoroso serves as the founder and owner of Brazos Valley Charting in College Station, Texas. Also an emergency medicine physician at US Acute Care Solutions, Dr. Anthony Amoroso works in a busy ER that sees 55,000 to 60,000 patients per year.

In many cases, fevers go away on their own, but other times, a trip to the emergency room is necessary, particularly when an infant or child is running a high fever. 

For infants under 90 days old, emergency care should be sought is the fever goes above 100.4 degrees. This threshold increases to 102.2 degrees for babies between 90 days and 36 months. Children 3 years and older who have a fever of 102 degrees for two days or longer must be taken to the emergency room.

Beyond these fever thresholds, infants and children who have a fever with additional symptoms may also need emergency medical care. Some of the symptoms to watch for include rash, vomiting, and difficulty breathing.

Fevers are not as much of a threat to adults unless they last more than three days above 101 degrees or reach 103 degrees. Adults also need medical treatment immediately if the fever presents with mental confusion, severe headache, stomach pain, seizures, or persistent vomiting.

The Role of Medical Transcriptionists in Collaborative Health Care

Anthony Amoroso is a board-certified emergency physician with US Acute Care Solutions. In addition, as the president of Brazos Valley Charting, Anthony Amoroso manages real-time transcription services offered to health care providers in Bryan and College Station, TX. He has also previously provider those same services in Killeen, Texas and New Braunfels, Texas. 

Medical transcriptionists play a key role in improving health care outcomes. Importantly, they make sure medical information is properly communicated and presented in patient health records. Doctors rely upon accurate medical information to provide timely assessment and treatment. 

Moreover, transcriptionists play a critical role in facilitating the flow of patient information in an increasingly collaborative health care environment. Patients are rarely treated by only one physician; instead, they are often treated by multiple specialists with expertise in different areas of medicine. Properly transcribed patient records ensure concise and clear communication so that doctors, nurses, and support staff can all access the same information, helping patients get well while preventing unnecessary complications.

NCAA College Football Subdivisions Explained

Anthony Amoroso, MD, has practiced emergency medicine post-residency for 15 years. In his free time, Dr. Anthony Amoroso enjoys watching college football.

The National Collegiate Athletic Association (NCAA) classifies all member institutions’ athletic programs into three divisions, the highest of which is Division I. When a Division I school has a football program, the NCAA categorizes that program as either Football Bowl Subdivision, formerly known as Division I-A, or Football Championship Subdivision, formerly known as Division I-AA.

Football Bowl Subdivision, or FBS, is the highest level of college football. Teams in this division play 12 regular season games and a weekend-long conference championship. In general, FCS teams only play 11 games in the regular season as well as a 24-team playoff sponsored by the NCAA. An FBS team is also eligible to play in the four-team College Football Playoff, which is played after the regular season independently of the NCAA.

FBS teams have a higher scholarship allowance as well. An FBS team can hand out 85 full scholarships. An FCS team has an allotment of 63 scholarships or fewer, depending on the conference, and can divide these among as many as 85 players.

To qualify as an FBS team, a school must draw an average of 15,000 attendees per home game. The school must meet this benchmark at least once per rolling two-year term. FCS schools do not have attendance requirements, but the average for an FCS home game in 2014 was calculated at less than 8,000 attendees.

Best Practices for Pediatric Anesthesia

Dr. Anthony Amoroso, an experienced emergency medicine physician, manages a medical transcription business alongside serving on staff at a high-traffic trauma center in Texas. As a resident at St.John Hospital in Detroit, Dr. Anthony Amoroso gained experience in the intensive care unit and the pediatric anesthesia department.

The American Academy of Pediatrics (AAP) developed guidelines for administering anesthesia to pediatric patients to reduce the likelihood of complications. The distinct physiology of infants and young children must be accounted for in order to safely administer anesthesia. 

For example, the size ratio between the tongue and the back of the throat make airway obstruction much more likely in young infants. The elevated risks have prompted some hospitals to only allow specialized anesthesiologists to sedate young patients, and only perform pediatric anesthesia in hospitals equipped with neonatal or pediatric care centers.

The AAP also recommends that hospitals are equipped with a pre-operation area that suitable for young children and their families and have a staff of recovery nurses certified by a Pediatric Advanced Life Support Course with a background in pediatric anesthesia.