Rural Emergency Medicine Podcast Episode 11: Giving Nec Fasc the Finger
Jul 15, 2018
Dr. Kenneth Bernard, an emergency physician on a Native American reservation in Arizona, shares insights on the critical challenges in rural emergency medicine. He highlights the First Annual Native America and Rural Emergency Medicine Conference, aimed at addressing the unique needs of these communities. The conversation dives deep into necrotizing fasciitis, revealing the complexities of diagnosis and the importance of bedside examination techniques. Bernard underscores the significance of building trust within underserved populations and the role of collaboration in improving healthcare outcomes.
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Rural Health Disparities Insight
- Native and rural populations face significant varying healthcare outcomes linked closely to geography and socioeconomic factors.
- Dr. Bernard felt driven by these disparities to serve Native communities in rural emergency medicine.
Challenges in Native Healthcare Trust
- Longstanding mistrust and underfunding in Indian Health Service create care barriers and patient complacency.
- Building trust in rural Native communities is difficult but essential for effective emergency care.
Rural Emergency Medicine Conference Advice
- Attend or organize rural-focused conferences emphasizing relevant clinical updates, operations, and provider well-being.
- Include practical workshops like ultrasound to boost rural ED clinicians' skills and address local challenges realistically.