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One of the major changes promoted in the Institute of Medicine (IOM) report Responsible Research: A Systems Approach to Protecting Research Participants, is a call for federal legislation expanding protections to all human subjects involved in research, regardless of funding or setting.
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This article, the second of two parts, deals with the potentially disastrous situation in which either the patients airway presents a substantial challenge or standard intubation methods have failed.
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Question: Some of our physicians insist on sending their patients to our ED for injections to treat ongoing medical conditions. One patient was scheduled for magnetic resonance imagine (MRI), but due to back pain, he was unable to lie still for the test. The physician ordered a narcotic injection to be given to assist the patient in getting through the test. Even though the MRI was scheduled and the injection order was included with the MRI order, we in the ED refused to administer the medication without a medical screening examination (MSE). The physician was irate, and the patient left unhappy. Did we do the right thing?
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State health policy experts and pharmaceutical company officials are anxiously awaiting the U.S. Supreme Courts decision on a controversial Maine program designed to help residents unable to afford prescription drug coverage get lower-cost medications.
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As shortages continue, experts weigh alternatives. When a patient in Chicago nephrologist Paul W. Crawfords practice suddenly turned up with a new kidney after a trip to Mexico, the doctor didnt want to ask a lot of questions.
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Even as this country struggles with a shortage of organs from donors, some ethicists are beginning to question the morality of harvesting organs from the group that serves as their primary source patients who are brain dead but have functioning hearts, lungs, and circulatory systems.
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UT Supreme Court upholds wrongful-life statute; Consumer group claims doctors strike unlawful; NEJM retracts study after authors point to forgery
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Given that fewer than half of families approached about organ donation give consent, it is essential that hospitals and procurement coordinators examine how they approach families at such a crucial time, say officials with the United Network for Organ Sharing (UNOS).
