Articles Tagged With: Death
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Ethical Debate Over Normothermic Regional Perfusion
Medical Ethics Advisor interviewed Adam Omelianchuk, PhD, an assistant professor at Baylor College of Medicine’s Center for Medical Ethics and Health Policy and lead author of a paper on ethical concerns involving normothermic regional perfusion.
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Ethical Considerations for Patient, Family, and Staff if LVAD Is Deactivated
An estimated 2,500 heart failure patients have left ventricular assist devices (LVADs) implanted each year. In some cases, the burdens of the LVAD outweigh the benefits, so a decision is made to deactivate the device in the hospital setting.
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Studying Patients at High Risk for Death in the ICU Can Give Them a Voice and Help Clinicians Understand Their Concerns
Using a multiple-source approach, this study showed that when given a voice, patients at high risk of dying in the intensive care unit express variable logistical, spiritual, physical, psychological, and existential concerns that clinicians should consider and address.
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Studying Patients at High Risk for Death in the ICU Can Give Them a Voice and Help Clinicians Understand Their Concerns
Using a multiple-source approach, this study showed that when given a voice, patients at high risk of dying in the intensive care unit express variable logistical, spiritual, physical, psychological, and existential concerns that clinicians should consider and address.
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Clinicians Often Use Medical Jargon to Refer to Death
During family meetings, ethicists can gently clarify language to ensure everyone understands. Even the best communicators will encounter patients and families who will not or cannot hear the words spoken to them, especially if it is bad news.
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Pregnancy-Associated Mortality: The Contribution of Homicide
In this national study, there were 3.62 homicides per 100,000 live births among females who were pregnant or within one year postpartum from 2018 to 2019. This rate was slightly higher (16%) than the rate among nonpregnant and non-postpartum females of reproductive age. Homicide was found to be a leading cause of pregnancy-associated mortality.
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Policy on Inappropriate Treatment Used in 25% of Ethics Consults
This suggests providers are searching for definitive tools, in addition to the ethics committee, to help resolve difficult end-of-life cases.
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Defense Verdict Rejects $16 Million Demand, but 14-Minute Deliberation Gives Rise to an Appeal
A widow filed a malpractice action alleging a hospital’s failure to evaluate the patient, which would have revealed extreme respiratory distress. The patient’s death was caused by a lack of oxygen. Experts testified that if the patient had been placed on a ventilator, he would have had a significantly higher chance of surviving his condition, pneumonia. Following a seven-day trial, the jury rendered a defense verdict after a mere 14 minutes of deliberation. The plaintiff brought a post-trial motion seeking to overturn the decision, and the court ordered a new trial.
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Which Acute Myocardial Infarction Patients Need a Blood Transfusion?
A randomized trial of a restrictive blood transfusion strategy vs. a more liberal strategy in patients with acute myocardial infarction and anemia showed the restrictive strategy is noninferior to the liberal strategy for preventing the primary outcome of death, reinfarction, stroke, or emergency revascularization.
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Preventing Recurrent Stroke or Death After Ischemic Stroke, TIAs
The combination of ticagrelor and aspirin compared to aspirin alone was superior in reducing the risk of stroke or death within 30 days of an acute ischemic stroke or transient ischemic attack.