In a systemic review of recent publications, investigators found that medical students and recent graduates worldwide are ill-prepared to counsel patients on nutritional guidelines and have deficits in both knowledge and confidence about the topic. The researchers found a perceived lack of training, but found that interventions undertaken to improve curriculum showed positive effects on nutrition competencies.
Cannabis use is ubiquitous across the nation as states continue to legalize marijuana, both for medicinal and personal uses. Surgery patients who ingest the drug are at a higher risk of complications, which is why surgery center directors and physicians should understand legal, medical, and other implications of cannabis use.
A patient’s capacity to give informed consent or to leave the emergency department against medical advice is a topic of great relevance to emergency clinicians. This article discusses the difference between competence and capacity and highlights the four essential elements involved in the assessment of a patient’s capacity.
The American College of Obstetricians and Gynecologists has released a practice bulletin to help providers use scientific evidence to guide women with coexisting medical conditions in making the most effective choices.
Domestic violence and abuse is a national and global healthcare problem with massive consequences, affecting men, women, and children. Awareness, recognition, and resource allocation, in addition to trauma management, is an important aspect of emergent care of the trauma patient possibly injured in a domestic violence incident.
Delirium is a complex disorder marked by the acute onset of mental status change with an associated fluctuating course. Despite the fact that delirium is a common clinical entity in elderly hospitalized patients, the condition may present in any patient regardless of medical comorbidities. Recognition within the emergency setting is becoming increasingly important, as the diagnosis frequently is missed.
In an observational study conducted at an academic medical center in London, researchers looked at factors involved in decision-making. The presumptive diagnosis of infection by the emergency department (ED) influenced decision-making by both medical and surgical admitting teams. Medical teams tended to use a multidisciplinary approach to antibiotic decision-making. Surgical teams often delegated antibiotic decision-making to the most junior members of the surgical team.