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Whether a bite or sting results in an anaphylactic reaction, impressive
local effects, or a life-threatening systemic reaction, the emergency
physician must be able to institute appropriate and effective
treatment. Emergency physicians also must be able to recognize clinical
envenomation patterns, since some critically ill patients may not be
able to convey the details of the attack. Since all areas of the
country are represented in the envenomation statistics, all emergency
physicians should be familiar with identification and stabilization of
envenomated patients and know what resources are available locally for
further management of these often complicated patients.
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This background on cerebral palsy and summary of the new findings was provided by the American College of Obstetricians and Gynecologists.
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Though it has been common in many health care institutions for decades, the practice of medical students and residents performing pelvic exams on women who have been anesthetized for surgery, without any medical need, and usually without consent is increasingly coming under fire from critics who say it just isnt right.
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In a move that will add one more regulatory concern to the risk managers plate, the Occupational Safety and Health Administration (OSHA) recently issued the first in a series of industry-specific guidelines for the prevention of musculoskeletal disorders in the workplace. Its target: nursing homes.
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One summer evening, fire ants attacked a 79-year-old nursing home patient resident as she lay in her bed. Because of the severe bites, she developed a staphylococcal infection and and the trauma further exacerbated her dementia.
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A recently issued report will be a boon to defendants in cerebral palsy malpractice cases, but it wont eliminate this brand of high-dollar cases or create an insurmountable burden for plaintiffs attorneys, experts say.
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Reader question: Does the Emergency Medical Treatment and Labor Act (EMTALA) require that our hospitals medical staff be required to provide on-call physician services 24 hours a day and 365 days a year?
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I read with interest the article about the study by the Center for Patient Advocacy involving reprocessed single-use devices (SUDs) in the February 2003 issue of Healthcare Risk Management. Included in the article is advice about obtaining informed consent when using these devices. Interesting information, but, there are other perspectives on the issue.
