Brachial artery trauma as a complication of bicep muscle injury.

We describe a rare case of injury to a branch of the brachial artery in a 48-year-old man with a bicep musculotendinous injury. His presenting symptoms included severe pain, swelling, and paresthesias in the right upper extremity. Examination revealed significant soft tissue swelling with ecchymoses in the right upper arm with diminished palpable pulses. Imaging revealed a biceps muscle injury along with active arterial extravasation of a branch of the deep brachial artery. Interventional radiology successfully performed coil embolization. Bicep musculotendinous injury is typically characterized by pain, swelling, and decreased strength. Rarely, complications such as compartment syndrome have been reported. Brachial arterial injury has not been implicated in the setting of this entity, especially in the absence of blunt or penetrating trauma, until our current patient's presentation.

How Women and Men Executives Perceive Healthcare Workplaces.

EXECUTIVE SUMMARY: Healthcare organizations that can attract and retain talented women executives have the advantage over their peers. In 2018, the American College of Healthcare Executives (ACHE) conducted the sixth in a series of surveys of its members to compare the career attainments, attitudes, and workplace experiences of men and women healthcare executives. Data from the 2018 survey indicate that women healthcare executives with 5 to 20 years of experience in the field are significantly less likely than their male peers to perceive their employers as gender-neutral regarding key employment factors such as hiring, promotion, evaluation, and compensation. Further, the results indicate there has been little to no improvement in many of these outcomes since ACHE began measuring these perceptions more than a decade ago. The perception that an employing organization is lacking in gender equity is also associated with lower overall satisfaction, engagement, and willingness to stay with the organization on the part of women executives.

The volunteer activities of healthcare executives.

The role requirements of healthcare executives have received considerable attention from researchers; however, the volunteer efforts of executives have not been examined. This study investigates the relationship between an executive's position in the organizational hierarchy and his or her propensity to volunteer in general and to volunteer for the executive's professional society in particular. The study found that nearly all executives volunteered for some organization, but the type of work they performed was associated with their position level. For example, more than 90 percent of chief executive officers (CEOs) served on a board or a committee compared with less than half of mid-level executives. Also, more CEOs than lower-level executives were involved in fund-raising, setting professional standards, and testifying to legislatures. In general, we suggest that CEOs commit to volunteering, which facilitates their ability to achieve and retain their high-level position, recognition, and rewards. Fewer than half of the executives surveyed had volunteered for the American College of Healthcare Executives (ACHE), their professional society; the most common reasons given for not volunteering were lack of awareness of volunteer opportunities or not being asked to volunteer. Those that had volunteered for ACHE were primarily motivated by altruistic motives, such as the desire to help others, feelings of compassion for people in need, or the desire to do something for the profession. Career advancement was deemed to be a less important motivator in volunteering for ACHE. However, mid-level executives rated these motives more highly than did senior-level executives and CEOs. Because of the creation of local ACHE chapters, many more opportunities will become available for healthcare executives to volunteer for their professional society in the future.