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... or the insertion of a flexible stent is the better way to prevent stroke for people with blocked arteries in the neck. But the study doesn't aim to answer another pressing question: How many patients may be better off avoiding those risky procedures altogether? An influential group of doctors say th ...
ACR–ASNR–SPR Practice Parameter for the Performance
ACR–ASNR–SPR Practice Parameter for the Performance

... patients. Practice Parameters and Technical Standards are not inflexible rules or requirements of practice and are not intended, nor should they be used, to establish a legal standard of care1. For these reasons and those set forth below, the American College of Radiology and our collaborating medic ...
A case of erythema nodosum leprosum reaction treated by pulsed methylprednisolone
A case of erythema nodosum leprosum reaction treated by pulsed methylprednisolone

... Therefore, ENL was consequently diagnosed on the basis of the clinical features and the pathological findings of the skin biopsy. Even though the evidence of a skin smear and the clinical of leprosy have been limited, our patient was presenting features of multibacillary leprosy according to the Rid ...
the em cases course 2016 handbook
the em cases course 2016 handbook

... Back pain is the most common MSK complaint that results in visits to the ED. When we pick up a chart in the ED and see that the chief complaint is low back pain, most of us have a similar reaction – not another lumbosacral sprain; or, not another drug seeker; or not another patient I can’t do anythi ...
Student Orientation Handbook
Student Orientation Handbook

... • EMI occurs when two-way radios or cellular phones interfere with electrical equipment. o This may even involve life-sustaining equipment. • Studies show that two-way radios interfere with electrical equipment when the user is transmitting over the radio. • The recommendation for the health-care in ...
Hyperthyroid
Hyperthyroid

... • Use a toilet that is not used by others for least 2 weeks after receiving the radioactive iodine. • Sit to urinate (males and females) to avoid splashing the seat, walls, and floor. • Flush the toilet three times after each use. • If urine is spilled on the toilet seat or floor, use paper tissues ...
Spring 2015
Spring 2015

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Ethics and Decision Making

... • The person can understand, reason, and evaluate the consequences of the decision and communicate it. • Matter of clinical judgment-no legal definition • May fluctuate with time and patient may be competent to make some decisions but not others. • If patient is impaired must obtain consent from pro ...
Assessing delirium in the PAD Bundle
Assessing delirium in the PAD Bundle

... implementation of said guidelines. • Update the ABCDE Bundle (did not address pain management) • Link these guidelines with other evidence-based ICU practices including, SBTs, early mobility, and sleep hygiene in order to improve ICU patient outcomes and reduce costs of care/LOS ...
Endowed Professorships Provide Critical Support to CUMC
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... something else altogether that won’t manifest or be treatable until the child grows up? What should doctors do if there is no chance that a child will survive but family members insist on advanced care that may cause prolonged suffering for the child? Does the hospital have the obligation to resusci ...
Guideline Anaphylactic Reaction
Guideline Anaphylactic Reaction

... resistance. Due to the peripheral pooling of blood, the blood pressure can dramatically decrease in a very short span of time. The vascular complications are accompanied by respiratory complications, including airway constriction, due to swelling of the smooth muscles in the airway tract, bronchosp ...
Emergency Neurological Life Support
Emergency Neurological Life Support

... nerves, the response is that of tonic deviation of both eyes toward the side of cold irrigation. An asymmetric caloric response is consistent with a structural abnormality. Nystagmus is not seen in the comatose patient. In the patient who is awake, a rapid corrective eye deflection in the direction ...
Hazmat-protocol-book - Emergency Medical Resources
Hazmat-protocol-book - Emergency Medical Resources

... “Heavy Metals” is a loosely defined term used to include elements that exhibit metallic properties. Although there are many elements that can be defined as “heavy metals”, these SOP’s are intended to apply specifically to arsenic, mercury, lead and copper. You should provide supportive care and cont ...
Interim Infection Prevention and Control Precautions for Possible or
Interim Infection Prevention and Control Precautions for Possible or

... equipment daily with a neutral detergent and disinfectant (e.g., hypochlorite solution 1000 ppm) paying special attention to frequently touched sites and equipment close to the patient o Cleaning and disinfection of the environment on discharge/transfer: o Prior to initiating environmental cleaning ...
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... WREN (MD): how often contact you about patient care issues beyond RX order information? PEARL RX (RPh): not including to obtain RX orders, how often interact about care for their patients? ...
Carnitine-acylcarnitine translocase deficiency in three neonates
Carnitine-acylcarnitine translocase deficiency in three neonates

... Our patient was given carnitine in line with this view. However, there is a theoretical risk that carnitine therapy can cause a further accumulation of toxic longchain acylcarnitines, which have been found to be arrhythmogenic in experimental situations.11 Hence, the use of carnitine in the treatmen ...
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Attachment 1 - JACC: Cardiovascular Interventions

... Lower Bound – issue of specificity, false positives Upper Bound– issue of complexity of patients vs. high-risk / high-benefit group ...
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... would manage each one. Based on their responses, we characterize physicians along two nonexclusive dimensions: those who consistently and unambiguously recommended intensive care beyond guidelines (“cowboys”), and those who consistently recommended palliative care for the very severely ill (“comfor ...
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... Minors Accompanies by an Adult: The adult accompanying a minor, his/her parents or guardians are responsible for full payment at time of service. Unaccompanied Minors: The parents or guardians are responsible for full payment at time of service. Non-emergency treatment will be denied unless charges ...
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... documents that patient does not wish to be seen in VHA Primary Care clinics, prefers to seek care elsewhere, or does not wish to receive care at all unless under emergency circumstances. Documentation of patient statements such as “I only signed up for VA for my MH service-connected condition.” or “ ...
Cancer Treatment Centers of America “My goal is to help other people
Cancer Treatment Centers of America “My goal is to help other people

... more precisely targeted radiation and drug therapies. A number of different methods are used, depending on the specific type and stage of cancer, the extent of the disease, and the patient’s general state of health. CTCA doctors utilize a powerful combination of traditional protocols—surgery, radiot ...
Syllabus 2014
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... the University Department and the CHEO Research Institute, who provided invaluable assistance towards the successful completion of many of the projects you will hear about today. For the members of the Department of Anesthesiology who supervised individual students, residents and fellows throughout ...
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... regarding the application of the directives. Much of the information contained herein was generated as a result of the many “Frequently Asked Questions” post implementation of the new directives in 2011. This companion document should be used as a reference tool to further understand the applicabili ...
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Imaging e-Ordering Coalition Formed to Promote Evidence

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CAR Standards and Guidelines for Myelography

... within the cord or canal and find the source of cerebrospinal fluid leaks. Usually water soluble contrast material is injected into the subarachnoid space through a small needle in the lumbar or cervical region and positioned under fluoroscopic control into the region of interest where spot filming ...
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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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