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While our nations' emergency physicians were considerate enough to hold their annual scientific assembly in weather-ravaged New Orleans, the courts in the Bayou dealt the house of medicine its version of a tsunami and trailing hurricane ...
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Stroke remains the third leading cause of death, but more importantly the cause of severe morbidity particularly among the elderly. Up to two-thirds of strokes leave the patient with significant disabilities, often requiring institutional care.
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It is reasonably settled that from a legal and/or ethical viewpoint that a competent patient has the right to direct his or her own medical care in any scenario. However, when the patient who is receiving medical care is no longer legally competent or never was legally competent to undertake medical decisions, the legal and ethical waters become murky.
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One of the most challenging evaluations that an emergency department (ED) physician is asked to perform is the examination of a child with potential child abuse. The majority of ED physicians feel overwhelmed, and although they would like to perform the "ideal" history and physical examination, they find themselves feeling inadequate in these situations.
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Domestic violence is a serious problem that, unfortunately, is seen all too commonly in our emergency departments. Statistics show, however, that physicians, including emergency physicians, are not good at identifying victims of domestic violence.
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