Wednesday Wrap-up

Wednesday Wrap-Up

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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:

Informed Consent

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
So let us know what you think of this subject or anything else that came up in conference. Thanks.
The views expressed on this blog are the author's own and do not reflect the views of their employer. Please read our full disclaimer here. Any references to clinical cases refer to patients treated at a virtual hospital, Janus General Hospital.
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jwillis

James Willis, MD. Assistant Program Director at SUNY Downstate / Kings County.

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1 comment for “Wednesday Wrap-Up”

  1. Nikita
    November 17, 2012 at 9:21 pm

    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.

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