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Category Archives: Emergency Department

How is a concussion diagnosed?

Assault, Blunt Force Trauma, Civil Law, Criminal Law, Domestic Violence, Emergency Department, Malpractice, Missed DiagnosesBy Godoy Medical Forensics, Inc.

The initial diagnosis of concussion is based on evaluation of the symptoms a person reports, or someone else observes, after sustaining the injury. Concussion is commonly divided into three different types: Grade 1, Grade 2,…

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What exactly is a concussion?

Assault, Blunt Force Trauma, Civil Law, Criminal Law, Domestic Violence, Emergency Department, Malpractice, Missed DiagnosesBy Godoy Medical Forensics, Inc.

When a bump, jolt, or blow to the head causes a change in the way the brain works, it is called a concussion. A concussion is a type of traumatic brain injury (TBI) that causes…

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Verbal Abuse in Chemical Restraint

Civil Law, Emergency Department, Malpractice, Policies and Procedures, Psych/Mental Health (Civil)By Godoy Medical Forensics, Inc.

The following case scenario is an examples of the use of chemical restraint: Mr. Jones is a 65 year old man who is being evaluated in the emergency room after a fall with a possible…

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MRSA: Legal Implications

Civil Law, Elder/Dependent Abuse & Neglect (Civil), Emergency Department, MalpracticeBy Godoy Medical Forensics, Inc.

According to the National Institute of Allergy and Infectious Diseases, a 2005 study comparing patients without S. aureus and those infected with it showed that those with the infection had nearly 3 times the length…

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MRSA: Prevention & Treatment

Civil Law, Elder/Dependent Abuse & Neglect (Civil), Emergency Department, MalpracticeBy Godoy Medical Forensics, Inc.

The Centers for Disease Control and Prevention estimate that “2 in 100 people carry MRSA”. (Centers for Disease Control and Prevention, 2014) Hospitalized patients are usually tested prior to surgical or other invasive procedures. The…

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MRSA: High Risk Populations

Civil Law, Elder/Dependent Abuse & Neglect (Civil), Emergency Department, MalpracticeBy Godoy Medical Forensics, Inc.

There are people who are at higher risks of developing complications to these infections. Patients with weakened immune systems who are unable to fight off the infection include those with cancer and receiving chemotherapy; those…

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MRSA: Transmission

Civil Law, Elder/Dependent Abuse & Neglect (Civil), Emergency Department, MalpracticeBy Godoy Medical Forensics, Inc.

Staphylococcus aureus, or S. aureus, has been around for more than 100 years. Over the years the increasing overuse and misuse of antibiotics to treat bacteria, including, S. aureus, has caused bacteria to become resistant…

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Patient Safety: Policies (Part II)

Emergency Department, Policies and Procedures, ToxicologyBy Godoy Medical Forensics, Inc.

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, last week), duty to warn, duty to report,…

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Patient Safety: Policies (Part I)

Emergency Department, Policies and Procedures, ToxicologyBy Godoy Medical Forensics, Inc.

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,…

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Patient Safety: Documentation

Emergency Department, Policies and Procedures, ToxicologyBy Godoy Medical Forensics, Inc.

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…

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Patient Safety: Intoxication Case Scenario

Civil Law, Emergency Department, Policies and Procedures, ToxicologyBy Godoy Medical Forensics, Inc.

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…

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Schizophrenia: Medical Treatment Options

Assault, Civil Law, Criminal Law, Elder/Dependent Abuse & Neglect (Civil), Emergency Department, Psych/Mental HealthBy Godoy Medical Forensics, Inc.

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…

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