Policies should be in place to help providers make decisions about impaired patients. The legal matters to consider in developing a policy are breach of confidentiality (Part I, today), duty to warn, duty to report,…
Make sure you check out the post about our DUI Medical Defense Screening Tool. The following story is fictional and should not be interpreted as reflective of any actual case: My girlfriend and I had been…
One of the most important actions for medical providers in the situation described last week is meticulous and frequent documentation of every interaction with the patient. All treatment, instructions, evaluations, physical observations, and advice not to leave…
Make sure you check out the post about our DUI Medical Defense Screening Tool. The topic of blood sampling for purposes of blood alcohol determination is relevant to the legal community on a number of…
In July, our monthly topic was a typical scenario that a patient will go through when they call 911. This month, we are going to see what happens when a severely intoxicated patient comes into…
The primary treatment for schizophrenia is antipsychotic medication. It can help individuals to manage their symptoms but it is not a cure. The older antipsychotic medications, called “first generation” were effective for positive symptoms and…
Individuals with schizophrenia may sleep excessively or use alcohol or other substances to diminish the voices. Command hallucinations are the most serious and can be dangerous. The voices may command an individual to harm themselves…
There is currently no diagnostic test for schizophrenia. The age of onset is usually between the late teens and early thirties. Diagnosis is based on an individual’s history and presenting symptoms. Positive, negative and cognitive…
The police were called to a busy intersection of the city because a man was standing in traffic, shouting and stopping cars. He was a white male, in his early twenties with an unkempt appearance.…
Mrs. Smith receives an EKG, CT scan of the head, a chest x-ray and multiple lab tests that reveal she has had a myocardial infarction (MI), commonly known as a heart attack. A cardiologist is…
Detecting meth within a user’s body can be measured in several ways. Hair and saliva testing can be performed; but the most common methods are urine and blood sampling. Toxicology screens are typically used for…
“Hello base, this is Medic 62 inbound with 49 year old female, status post syncope and emesis, complaining now of shortness of breath. Denies chest pain. She is currently A&Ox4, vital signs are stable and…
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