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2014 Clinical Vignette and Research Competition
2014 Clinical Vignette and Research Competition

... challenging to make. A random serum cortisol level in the ICU and again on the medical ward was elevated (>62 ug/dl). Serum cortisol following a 1 mg overnight dexamethasone suppression test was 71.5 ug/dl (normal <5 ug/dl), and an ACTH level was elevated at 117 pg/ml. Liver biopsy was consistent wi ...
Pain Management Guidelines
Pain Management Guidelines

... The decision to initiate opioid therapy for treatment of chronic pain should be the prescriber and patient’s joint decision. This decision may extend to another person responsible for the patient’s care (Caretaker). Once the joint decision to prescribe is made, a treatment plan and goals should be e ...
to open the MS Word version of the Quarterly Action Agenda
to open the MS Word version of the Quarterly Action Agenda

... One of the most important ways to prevent medication errors is to learn about problems that have occurred in other organizations and to use that information to prevent similar problems at your practice site. To promote such a process, the following selected items from the April—June 2015 issues of t ...
E M S EMS PROTOCOLS AND PROCEDURES MANUAL
E M S EMS PROTOCOLS AND PROCEDURES MANUAL

... direct Medical Control contact, especially when the patient’s condition and/or situation is lifethreatening. As soon as the condition and/or situation permits, direct contact must be established with Medical Control for confirmation of medical care and further medical direction. The procedures are t ...
Withdrawal from benzodiazepine dependence
Withdrawal from benzodiazepine dependence

... Consider contacting the HIC about the patients past pattern of drug use and doctor attendance Consider developing a contract of behaviour in which consequences for non-compliance are clearly spelt out. Notify the DPU Switch to a single long acting BZD, usually diazepam. Dose equivalents are unreliab ...
Kuwait Institution of Medical Specialization Internal Medicine
Kuwait Institution of Medical Specialization Internal Medicine

... Describe the principles of maintenance of competence 1.2. Describe the principles and strategies for implementing a personal knowledge management system 1.3. Recognize and reflect on learning issues in practice 1.4. Conduct a personal practice audit 1.5. Pose an appropriate learning question 1.6. Ac ...
Carpal Tunnel Syndrome - Brigham and Women`s Hospital
Carpal Tunnel Syndrome - Brigham and Women`s Hospital

... lead to nerve compression. The presence of rheumatoid arthritis could lead to alterations of the bony margins of the carpal tunnel. The development of a cyst or tumor in the tunnel could also lead to nerve compression. Demographics: It is interesting to note that women between 40 and 60 years of age ...
Trauma Patient Handbook
Trauma Patient Handbook

... simplified explanation of a coup/contre-coup injury or intracerebral hematoma. There is also a section that includes feedback from former trauma patients who share a little of what they have learned during their time with us. In the back of the handbook, you will find room to make notes about ongoin ...
Influenza Outbreak Control Measure Trigger Tool for Hospitals
Influenza Outbreak Control Measure Trigger Tool for Hospitals

CaPTHymone
CaPTHymone

... Factors that might cause the Company’s results to differ materially from those expressed or implied by such forward-looking statements include but are not limited to, development and commercialisation of the Company’s product portfolio; development or acquisition of additional products; and other ri ...
Parkhall Surgery - Frome Valley Medical Centre
Parkhall Surgery - Frome Valley Medical Centre

... Later on as the central NHS computer system develops, (known as the ‘Summary Care Record’ – SCR), other staff who work in the NHS will be able to access it along with information from hospitals, out of hours services, and specialists letters that may be added as well. Your information will be extrac ...
30 Annual Yash P. Kataria Internal Medicine
30 Annual Yash P. Kataria Internal Medicine

... at BSOM 30 years ago and has been an integral force since the inception of the medical school. Yash was the first division chief of pulmonary medicine at BSOM and successfully recruited and established a clinical and active laboratory research program. Yash was the section head of pulmonary at BSOM ...
tekst van de volgende besprekingen
tekst van de volgende besprekingen

... sperm banks co-produce male subjectivities and how this process is experienced by the respondents. In a methodological paragraph, the authors describe their difficulties in finding sperm donors willing to participate in the study. Ultimately, they recruited nine donors, and developed ethnographic po ...
Charter Right to Die in Canada? Fran Carnerie
Charter Right to Die in Canada? Fran Carnerie

... spectre of death to fade to such an extent that at times an instrument is ...
Avoiding misdiagnosis in patients with dyspnea and wheezing: a
Avoiding misdiagnosis in patients with dyspnea and wheezing: a

... Fixation error is common in medicine, and occurs when a physician concentrates on only one aspect of a clinical case, without considering other relevant aspects [8], for example focusing on wheezing without recognizing stridor. In all chronic respiratory diseases the execution of lung function tests ...
SRI LAKSHMI MEDICAL CENTRE AND HOSPITAL
SRI LAKSHMI MEDICAL CENTRE AND HOSPITAL

... The policy of prioritizing patients is based on the urgency of their individual need for medical care. Under normal working conditions, patients shall be triaged and allotted beds in the ER as per the urgency of their medical needs. During external disasters (Code Red) patients shall be triaged as R ...
Using SAS to Make an Independent Assessment of Electronic Medical Records
Using SAS to Make an Independent Assessment of Electronic Medical Records

... There is no interaction effect; there is a cumulative increase in time with both physicians and nurses considered. The kernel density graphs indicate that the ER can become more efficient. However, the achievement of increased efficiency will require a change in healthcare provider behavior. EXAMINA ...
NSMJ 1993 Vol.72(4) 119 - DalSpace Home
NSMJ 1993 Vol.72(4) 119 - DalSpace Home

... directive care for their physical treatment and rehabi li tation. This reduced some of the pressure on the 19 beds in the Centre itself. In addition to my responsibilities for the direction and development of the Nova Scotia Rehabilitation Centre, I was physician in charge of physical medicine and r ...
Roze Room Hospice of the Valley
Roze Room Hospice of the Valley

... a richer, fuller, more meaningful life in the time that is left. We use various approaches for pain and symptom control, including medications, visualization, affirmation and love, all according to the wishes of the patient and family. ...
community insight report - patient centred care
community insight report - patient centred care

... Transferring from Adult Social Care to Continuing Care may be challenging, and poor coordination makes patients feel as if they are being felt pushed from pillar to post. ...
UCHC Newsletter  UCHC Team Earns First Place!
UCHC Newsletter UCHC Team Earns First Place!

... transition back into the  community. As an example, it  mandated providing inmates  with information about  appropriate social service  benefits for which they might  qualify upon release.   However, one requirement in  the law concerned some of  my fellow mental health staff  members and administra ...
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... Transcript title change: Prep For Entry Into Practice Lec=30, Lab=150 Outcome 1. Use clinical decision-making, critical thinking skills and evidence based practice in the application of the nursing process for assigned patients. 2. Communicate effectively and collaboratively with patients, families, ...
ID_3209_ITF -1-(definitions- informati_English_sem_2
ID_3209_ITF -1-(definitions- informati_English_sem_2

... PACS replaces hard-copy based means of managing medical images, such as film archives. PACS enables practitioners at various physical locations to access the same information simultaneously. Less risk of entering an incorrect patient ID for a study – modalities that support DICOM worklists can retri ...
COPD Broch-2.FINAL.qxd:Layout 1
COPD Broch-2.FINAL.qxd:Layout 1

... and sound different. Their cough is scant and dry. But their shortness of breath is more severe, and they breathe faster than normal. They stay pink and don’t accumulate fluid, but they lose weight, their muscles tend to waste away, and they develop large, barrel-shaped chests. Most patients with CO ...
NES - Near Patient Testing
NES - Near Patient Testing

... work without prior notice, agreement and resource provision. Practices must therefore discuss any proposed significant change in treatment room use with CH(C)P management in order that appropriate provision can be made to allow delivery of the phlebotomy element of the service, without detriment to ...
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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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