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When Providence Health Care system, a network providing health care at several sites in Vancouver, BC, was formed in 1997, the ethicist for the system saw an opportunity to build on that peer-adviser idea as a way to handle day-to-day ethical dilemmas. They created ethics mentors in every unit of every hospital in the system.
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From the time of the ancient Greeks, learning about the human body and how to manipulate and treat it has involved the use of cadavers. Western medicine still relies on the use of cadavers for teaching purposes, but one aspect of the use of dead bodies has emerged in recent years as a point of debate: Should medical personnel obtain consent from family members before practicing medical procedures on a newly deceased person?
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A nurse checks in on a 72-year-old patient recovering from pneumonia and, after checking her vital signs, asks if theres anything the patient needs. Instead of asking for water or a snack, the patient replies, Will you pray with me? What is the appropriate answer?
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Folate Therapy and In-Stent Restenosis and Coronary Stenting; Quinapril Reduces Markers of Oxidative Stress in the Metabolic Syndrome; Donepezil in Patients with Alzheimers; Effect of the Dietary Approaches to Stop Hypertension Diet and Reduced Sodium Intake on Blood Pressure Control; Methylprednisolone, Valacyclovir, or the Combination for Vestibular Neuritis; Improved Plasma Glucose Control, Whole-Body Glucose Utilizations, and Lipid Profile on a Low-Glycemic Index Diet in Type 2 Diabetic Men.
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The ECG in the Figure was obtained from a 41-year-old woman with chest pain of suspected cardiac etiology. The tracing shows complete right bundle-branch block. How many additional ECG findings of potential concern can you identify that may be relevant in view of this patients clinical history?
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Accurately measured in the supine patient, normal cerebrospinal fluid (CSF) opening pressure is typically between 150-200 mmH20.
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All emergency physicians should be quite familiar with the use of succinylcholine for neuromuscular blockade to facilitate endotracheal intubation.
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Federal agencies and professional societies currently recommend that patients with community-acquired pneumonia (CAP) receive their initial dose of antibiotics within 8 hours of hospital arrival. The Centers for Medicare and Medicaid Services conducted this study to explore further associations between timing of initial antibiotic doses and clinical outcomes.
