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Ethicists Collaborate with Palliative Care Team
Connie M. Ulrich, PhD, MSN, RN, FAAN, and colleagues often observed close collaboration between ethicists and palliative care providers, but wanted to better understand the intersection between palliative care and ethics consultation. The researchers surveyed 86 pediatric palliative care clinicians at 70 children’s hospitals about why they requested ethics consults.
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.
New Guidance on Controversial Organ Transplant Technique
Normothermic regional perfusion (NRP), which restores a donor’s circulation after death, is an ethically controversial new organ donation technique.
Ethicists Answer These Two Questions on Elder Mistreatment
Should clinicians seek institutional intervention to prevent an abusive or neglectful surrogate from being involved in medical decision-making?
Ethicists Can Assist with Elder Mistreatment Cases
Clinicians face many challenging ethical issues with patients experiencing elder mistreatment.
Ethics Issues for Young Adults Vary Depending on Setting
As a medical student at the University of Michigan, Samantha Lyons, MD, HEC-C, regularly attended both pediatric and adult ethics committee meetings. Lyons noticed that for young adults, different approaches were used based on whether the patient presented to the pediatric or adult setting. In general, pediatric care was more family-oriented, whereas adult care placed more emphasis on patients being autonomous and independent.
Many Hospital Websites Lack Information on Clinical Ethics Consultation Services
Many patients and family members, and even some clinicians, are unaware of the basics of what ethicists do or even how to contact them. However, many ethics services do not post any information at all on their institutional websites, a recent study found.
An ECG in Disguise?
The electrocardiogram (ECG) in the figure was recorded from an older man following a bradycardic and hypotensive episode. What ECG diagnosis is suggested by this tracing?
Epinephrine Nasal Spray (Neffy)
The U.S. Food and Drug Administration has approved epinephrine nasal spray for the emergency treatment of allergic reactions, including anaphylaxis. It was granted a fast-track designation and will be distributed by ARS Pharmaceuticals as Neffy.
Indications for Reduced-Dose Direct Oral Anticoagulants
A subgroup analysis of the ENGAGE-AF TIMI 48 study of edoxaban 60 mg/day vs. 30 mg/day compared to warfarin in patients with atrial fibrillation of the group 80 years of age or older has shown that 30 mg/day results in less major bleeding without a concomitant increase in stroke risk compared to 60 mg/day or warfarin.