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5/12/2020 · Ethics / Ethical Duties

Ethical Issues Are Too Often Ignored By Medical Experts

By: Francois Sestier, MD, PhD, FRCPC, FACC, CIME

Medical experts are sometimes perceived as mercenaries, selling their opinion for money. This has been favoured by the adversarial judicial system in North America with medical experts on both the sides of the Court Room. Medical experts too often believe firmly that their main duty is to help the requesting party to win their case.

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4/27/2020 · Emergency Medicine

Emergency Resuscitation or "Do Not Resuscitate": A Tale of Two Patients

By: Dr. Robert M. Stark

As a cardiologist involved in critical care, I would like to provide a clear explanation and understanding of the processes involved in resuscitation and critical care. Most particularly, what it must be like for the patient, the patient’s family and the caregivers involved. I will draw on examples from two patients I recently treated, both of whom required acute resuscitation

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1/21/2020 · Orthotics and Prosthetics

Liability Pitfalls In Providing 3D Printed Components or Devices In Prosthetics And Orthotics

By: John Schulte

The 3D printing manufacturing process has been garnering the Medical headlines lately. While exciting to literally print a device right from the computer, some very important aspects relative to placing a printed device on a medical referral person particularly regarding prosthetics and orthotics will be discussed...

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1/6/2020 · Medical

Beware Overuse of Fluoroquinolones

By: Dr. Sajid Khan

Fluoroquinolone antibiotics (Ciprofloxacin, Levofloxacin, Moxifloxacin, among others) are an important class of antibiotics that are used in a variety of settings. Ciprofloxacin remains one of the primary treatment options for cystitis. It is used routinely for inpatient treatment of pneumonia and many still consider it part of the first-line treatment for diverticulitis. But in the last few years, questions about its safety profile have led to growing concerns.

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11/13/2019 · Emergency Medicine

Supervising Midlevel Providers in Emergency Departments

By: Dr. Sajid Khan

Managing the Emergency Department is a team sport. That means sharing information with one another, trusting your teammates to perform to the best of their ability, and working together towards a common goal. To that end, one responsibility of [most] ED physicians is supervising mid-level providers.

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9/13/2019 · Medical

Vertebral and Carotid Artery Dissections

By: Dr. Sajid Khan

Cervical arterial dissections most commonly occur in the carotid arteries, followed by the vertebral arteries. Vertebral artery dissection (VAD) often presents after a trivial injury such as hyperextension of the neck while at the salon...

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7/23/2019 · Medical

Myasthenia Gravis Disorder: Diagnosis, Crisis, and Treatment 0verview

By: Dr. Sajid Khan

Myasthenic crisis is a rapidly progressive and potentially fatal condition. Early consideration and bedside confirmatory tests are essential. Have a low threshold to establish a definitive airway using higher than typical doses of paralytic medications. Involve the consultant early and be extra vigilant when caring for anyone with a history of myasthenia gravis

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7/1/2019 · Medical

Failure of Medical Stress Tests

By: Dr. Sajid Khan

When evaluating a patient, we rely on a good history to help us form a differential diagnosis. We use our physical exam skills to refine that list. A bedside ultrasound or ECG can further guide our decision-making and save precious time. Beyond these, we rely on seemingly failsafe data: radiographs, blood tests, and urine samples. But sometimes these reliable tests aren't so reliable.

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4/25/2019 · Emergency Medicine

Ready for the Measles' Comeback?

By: Dr. Sajid Khan

As disease patterns evolve, so too must we. Being aware of emerging illnesses and remaining diligent in identifying their presence ensures a safe environment for the patient and the community. Measles is a highly contagious and potentially lethal viral infectious disease.

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9/24/2018 · Medical

Is IME Preparation Useful?

By: Dr. Chasby Sacks

Recently we were asked to attend an IME and was struck by how unprepared the client was for the exam. Throughout the IME this person gave answers that we believe could potentially be detrimental to his case. The client spoke up in an effort to be helpful and forthright. These answers were volunteered without prompting by the examining doctor. It was difficult to sit through the IME as an observer and not ask the client to only answer the questions asked and not volunteer information that could be misconstrued by the IME Physician. The position must be taken that IME physicians may be no less susceptible to secondary gain issues than some clients.

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selected resources

Financial Elements of Contracts: Drafting, Monitoring and Compliance Audits

by Sidney P. Blum

The Psychiatrist As Expert Witness

by Thomas G. Gutheil

A Scientific Study of Asset Management: An Investigation of the Use of Expert Witnesses to Measure Their Influence on Trial Outcomes in the Field of Vehicle Accident Litigation and the Resulting Effect on the Profitability of U.S. Law Firms

by Russell E. Darnell, PhD