Sometimes, the best place to look is an already recommended tool - your course textbooks. The online ones that pertain to this week are:
The following are textbooks of possible interest and are available either in print or online. To find more books of interest, use the search box above and to the right. Change the drop-down option from "This Guide" to Catalog.
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Undocumented immigrant healthcare information can be a difficult to find piece of information this week. Most likely, an internet search will turn up the best info, but how do you find the quality details you need around the highly opinionated sites? A couple of key search tips are:
See the Google Tips box below for more details.
Resources for this case include:
Textbook Suggestions (look left)
Featured Resource -- Access Pharmacy & Toxicology Text
The 4 W (& H) Questions - Background resources, plus ...
Up to Date's (Hidden) Drug Information
The Translating Question - How to get to the good stuff in PubMed
National or State Organizations -- from poison controll to suicide stats
Cost of Care & Emergency Medical Treatment Act
Google Searching Tips
Access Pharmacy -- a new resource
A companion product to Access Medicine but focusing on drug and chemistry resources. For this case, a key resource we now have access to with this new subscription is Casarett and Doull's Toxicology: The Basic Science of Poisons (9th edition). If you need to know more about organophosphate insecticides or perhaps the delayed neuropathy effects, check it out. You can search just through this book or like Access Medicine, search across all of the textbooks in this collection.
Finding the Facts (and the background details)
Books are a great place to find the background questions -- the how, what, why, when, where type of questions. Using the electronic books, you can look for a specific word and search through it, almost like using a book's index. But, not all valuable books are electronic, so searching the catalog is going to help. Books with the chapter headings might help you find some useful books.
This week, you may need to look up things like glasgow coma scale or vital signs or oximetry. Explaining those things is not always well covered in resources like Up to Date, because there is the assumption that you already know these things. Books (& the links below) may be your best bet.
Did You Know this about Up to Date?
You may have found the embedded links to drug information within the text of a section in Up to Date, but did you know it includes the information from a drug database produced by another company (Lexi-Comp, if you are curious about the company)? Here's a screenshot of what you might find:
So, where do you find it?
Hiding under Contents in the blue banner at the top.
Where else can I get drug info in Up to Date?
When reading the different sections in Up to Date, you will see the drug name underlined and with an embedded link. No need to search for the info, the link will take you right to some good details. This is what you will see:
Click on the link for Pralidoxime and you will see:
Finessing PubMed
What does the literature say about translation in the emergency department? If you try this search in PubMed without some special techniques, it seems that nothing is really pertinent.- or is too hard to find. Well, this is one of the times where a MeSH search can make a very big difference. There is a MeSH term for translating that helps really target your search. The other "thing" with this search is that there is variability in whether the ED is the emergency room or emergency department - so use both.
For example, try this: "Translating"[Mesh] emergency (room OR department)
What about Google Translate?
You could try Google to see what somes up on Google translate in medical communications. And, I would also throw that into a PubMed search. There are some good things in both places.
Some times, the best resource for a topic is a government agency. Immigrant health is a widely discussed topic over the past few years and you need a way to get past the opinion sites to the real data - whether it is state or national. San Diego county also has some special programs, so you could use either California or San Diego in the following search.
For example, try one (or both) of the following:
Another option is to combine the tip for limiting to a type of site -- add at the end of your search terms site:gov --
with a request for an organization that covers healthcare topics - especially cost analysis. One organization, AHRQ (see National Organizations for details on this organization), is really good for this.
Try the .gov search again but add AHRQ to the search
health-care for undocumented immigrants California AHRQ site:gov
National Organizations
Both government and private organizations often have very useful information for patients as well as physicians. Most of these are poison resources and the last one is a database for the cost of care in California.
A new legislation, signed just this week, creates a national suicide hotline with the 3 digit number, 988. The service can start building now and might be online by mid-2022.
On the internets you will find lots of different sites that have suicide information, trends, & stats, but most of them will use CDC or NIMH statistics. These are the two nation-wide agencies that have an interest (and funding) to collection information at the national level. A simple internet search -- with the added site:gov -- will narrow to some of the great resources available directly from these organizations.
The AHRQ website has a wealth of healthcare related information. As a government organization they are in a position to pull together lots of data on health care, usage of health care services, as well as costs.