Here Ed shows us how to attach the “BiPAP machine” to the wall and mask. You don’t have to set anything. It really is that easy. Sorry for the jitteriness of the camera. I either had too much or too little coffee that morning.
I always found this to be a very difficult question. It’s just like having to guess if being a physician is right for you. There’s really no way to know until you’re already a doctor, living the doctor’s life. And by this point… it’s too late! You can never really know until you’re living the EM life, but you stil have to make the choice. So…
This is a perpetual question facing medical students going into EM. Three- and four-year residency? The first thing you should know is that there are really three types:
Here is an application of the method pertaining to chest trauma, penetrating and blunt.
Blunt Chest Trauma
Penetrating Chest Trauma
Here’s an introduction to trauma and the primary survey.
Sometimes it’s good to go back to the basics.
How to perform an ECG
Electrodes to leads
Rate and Rhythm
ST-segments, Q-waves and T-waves (MI’s)
Just a little education on medicine and the law
There are two kinds of legal action within the law. Criminal action is when the government sues an individual for going against public interest – such as murder, rape, robbery. Physicians usually are not subject to these sorts of cases, unless they wilfully hurt their patients. Malpractice insurance won’t cover you against criminal action.
Civil action is when one individual sues another. When wrongdoing (such as negligence under which malpractice falls) is involved, this is called tort. In order to be prosecuted for medical malpractice, the plaintiff needs to prove four things:
- The physician owed the patient a duty of care. This happens whenever anyone comes into an Emergency Department. We are obliged to see this patient.
- The physician falls below the standard of care. This means the physician didn’t do what an average physician would do in the same circumstances. This is what the jury decides. If there’s a recognizeable standard of care, this is what the doctor will be held up against. If there isn’t, then they may call in expert witnesses.
- The patient sustained harm. This can be morbidity or mortality suffered by the patient, but also loss of wages, pain and suffering, etc.
- The harm is a result of not meeting standard of care, that is the negligence of the physician caused the injury. Not all bad outcomes are the result of the physician.
What do you think the cost of defensive medicine is? How can it be reduced? Given these four aspects necessary to win a verdict against a physician, pick a diagnosis and list everything that must be met in that particular case in order for damages to be awarded to the plaintiff.