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... the case in many practices. It was worrying that few GPs appeared to know that adrenaline should be repeated if required, and few identified the need to always transfer patients to hospital. The practice nurses had received regular and recent training, and were able to discuss the appropriate care a ...
Chest injuries
Chest injuries

... maximum of 10 mg Provide Consumer Medicine Information if available: Advise can cause nausea and vomiting, drowsiness Management of Associated Emergency: Respiratory depression is rare. If it should occur give Naloxone as per poisoning: opiates HMP. NB: as Naloxone counteracts the narcotic, it may c ...
Innovation - Department of Medicine
Innovation - Department of Medicine

... 2) A one hour face to face interview of 54 representative department members to discuss what matters and to seek ideas for change, and 3) A comprehensive mail-out survey to all members in the spring of 2006 based on themes and issues identified from the interview data. This massive input of ideas ha ...
JOSEPHINE COUNTY EMERGENCY MEDICAL SERVICES
JOSEPHINE COUNTY EMERGENCY MEDICAL SERVICES

... disorientation, hallucinations, delusional, violent or bizarre behavior towards people or inanimate objects, screaming or incoherent speech. Patients may be described as "just snapped" or "just flipped out" by witnesses, family or friends. Patient may have a history of alcoholism, substance abuse, o ...
Rituximab (Rituxan) Infusion Therapy
Rituximab (Rituxan) Infusion Therapy

...  Check pre-infusion, every 30 minutes during, and 30 minutes post infusion  Call physician if: Systolic blood pressure less than mmHg, Pulse greater than Temperature greater than C ...
ESI Triage Vs 4 Overview
ESI Triage Vs 4 Overview

... ESI Triage Level 2 • Not every patient who rates their pain as 7 out of 10 or greater will be assigned ESI level 2. – For many patients the nurse can provide comfort measures to relieve pain such as immobilization, ice, elevation, and distraction. – If the patient rates their pain as 9 out of 10 bu ...
Best Practice Protocols - World Health Organization
Best Practice Protocols - World Health Organization

... • If this is not a formal requirement in your hospital, document the conversation in which consent was given and include the names of people present at the discussion. • Informed consent means that the patient and the patient’s family understand what is to take place, including the potential risks a ...
Alternate Care Site Plan Template
Alternate Care Site Plan Template

...  Transfer of critical patients to a larger medical facility to make room for patients arriving from the incident, provided the larger facility has the capacity to accept additional patients. Maintaining the current or routine services for a community is an important consideration during an all-haza ...
Orthognathic Surgery for Patients with Maxillofacial
Orthognathic Surgery for Patients with Maxillofacial

... his or her family members fully understand the need for a diet that does not require chewing (ie, blended so that is can be swallowed easily) for six weeks after surgery. The nurse instructs the patient that he or she should not eat any food eight hours before surgery but that clear liquids (eg, wat ...
Antibody Mediated Rejection in Heart Transplantation: Case
Antibody Mediated Rejection in Heart Transplantation: Case

Preparing Medications for Administration by Injection
Preparing Medications for Administration by Injection

... 6. Insert the needle with a dartlike motion without hesitation, and remove it quickly at the same angle at which it was inserted. ...
New Life CPR Training Manual
New Life CPR Training Manual

... care. Instead call 911 and wait for EMS support to arrive. Infectious Disease  Using personal protective devices, such as gloves, masks, gowns, etc… can reduce your exposure to infectious diseases. Lawsuits  States have Good Samaritan laws in place to provide protection for rescuers who are acting ...
Case Study 3 - Partners Radiology
Case Study 3 - Partners Radiology

... Mr. Robinson returns prior to his 6-month follow-up with severe abdominal pain, jaundice, increased bilirubin count and fever. CT and Ultrasound exams confirm multiple large liver lesions, lymphadenopathy and ascites. Palliative treatment and hospice care are initiated. Copyright 2005 ...
The Medical Transcription Workbook
The Medical Transcription Workbook

... A to Z format for quick reference. Rules and guidelines are illustrated with hundreds of examples from actual dictation and transcription. Sections 3 through 8: Anatomy and Physiology, Medical Terminology, Pathophysiology, Surgery, Laboratory, and Pharmacology worksheets with subsections laid out by ...
Producing Enterobacteriaceae policy
Producing Enterobacteriaceae policy

... increase in the incidence of infection and colonisation by multi-drug resistant carbapenemase-producing organisms. These organisms have become increasingly resistant to the commonly prescribed antibiotics used within the hospital environment. Carbapenem antibiotics are a powerful group of βlactam (p ...
Prolonged disorders of consciousness National clinical guidelines Report of a working party 2013
Prolonged disorders of consciousness National clinical guidelines Report of a working party 2013

... This book may be reproduced in small quantities (up to 10 copies). For over 10 copies reproduced in any form (including photocopying or storing it in any medium by electronic means and whether or not transiently or incidentally to some other use of this publication), the written permission of the co ...
ADVANCEDpraxis
ADVANCEDpraxis

... professor of clinical medicine at the Indiana University School of Medicine. “These angioectasias are most often seen in people over age 50 who have a history of smoking and/or heart, lung, or renal disease, and they may result from chronic blood oxygen depletion. Some individuals with obscure small ...
In this issue
In this issue

... This month’s issue begins with the uplifting story of Cameron, a one-year-old boy from Las Vegas who beat the odds. The strength and determination of his parents, along with support from Coram, enabled him to go from being PN dependent at birth to being an active toddler who is now able to supplemen ...
Hospice and Palliative Medicine Entrustable Professional Activities
Hospice and Palliative Medicine Entrustable Professional Activities

... Why are there 17 EPAs (not more or less)? A challenge the EPA workgroup faced was to define EPAs that were discrete enough to make them useful without creating an unmanageable number of EPAs for educators. EPAs should be observable and measurable; operationalizing this remains a challenge for the fu ...
Clinical Summary and Procedure Description to
Clinical Summary and Procedure Description to

... hallmark of asthma, it is contraction of the ASM that is the main cause of airway constriction that leads to difficulty breathing during asthma attacks. Bronchial thermoplasty reduces ASM in those bronchial segments where 80% of the total airway resistance occurs. The majority of patients with asthm ...
Prolonged disorders of consciousness
Prolonged disorders of consciousness

... This book may be reproduced in small quantities (up to 10 copies). For over 10 copies reproduced in any form (including photocopying or storing it in any medium by electronic means and whether or not transiently or incidentally to some other use of this publication), the written permission of the co ...
Quality Resource Guide Managing Sleep Disordered Breathing in
Quality Resource Guide Managing Sleep Disordered Breathing in

... The adjusted neck circumference (ANC) formula can help determine the likelihood that a patient suffers from OSA.6 To calculate the ANC score, measure the patient’s neck in centimeters, then, add the appropriate number if the patient meets the following criteria: • 4 – if patient has hypertension; • ...
Local adaptation versus standardization? - unu-merit
Local adaptation versus standardization? - unu-merit

... to be perverted if social justice is not central to public health and medicine. Farmer argues that only an inegalitarian system can be considered efficacious when unnecessary sickness and premature death do not matter (Farmer 2003). This shows how the different positions in the debate on standardiza ...
ACMG Competencies v54_FINAL
ACMG Competencies v54_FINAL

... likely  go  out  of  date  quickly.    Third,  it  would  appear  prescriptive  and  might  limit  learning   decisions  made  by  faculty  and  trainees.    Finally,  formulation  of  competencies  and   learning  objectives  makes  it ...
Comprehensive Treatment Planning
Comprehensive Treatment Planning

... Candidates are to consider only what they can actually see in the diagnostic records and what they are given as clinical findings. However, Candidates are responsible for identifying and recommending appropriate treatment or management for all oral diseases and conditions that are present. Pit and ...
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Medical ethics



Medical ethics is a system of moral principles that apply values and judgments to the practice of medicine.As a scholarly discipline, medical ethics encompasses its practical application in clinical settings as well as work on its history, philosophy, and sociology.
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