11/14 Conference
8-845 Topic Review Dr. Cioe
845-910 Clinical Pearl Drs. Smith and Bradby
910-955 EBM Dr. Mathieu
955-1005 Clinical Pearl Dr. Rolston-Cregler
1005-1050 Toxicology Dr. Wiener
1050-11 Clinical Pearl Dr. Bogoch
11-12 M&M Drs. Aluisio and McMillan
So we had a great conference today aside from some iPad Jeopardy mishaps it went very smoothly. I thought there were many great learning points but I think one of the most controversial issues came up during the last lecture about consent. There was some discussion about who can be consented and the appropriate way to go about this. The lecture was about mental retardation and issues with consent.
I found a good concise article on informed consent in the emergency department. You can access it from the library website through this link:
The summary of the section about determining capacity is as follows:
- Presence of condition(s) impairing mental function;
- Presence of basic mental functioning (awareness, orientation, memory, attention);
- Understanding of specific treatment-related information;
- Appreciation of the significance of the information for the patient’s situation;
- Reasoning about treatment alternatives in light of goals and values;
- complexity of the decision-making task; and risks of the patient’s decision
jwillis
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I think another important learning point is to always remember the definition of conscious sedation. Even giving IM ketamine requires its own consent document. If we don’t think of it, then we will not consent, and it will end up causing a lot of issues.