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Tag Archives: Emergency Medicine

How is a concussion managed?

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

Conservative management of concussions is standard practice. Physical and cognitive rest is recommended for at least 24 hours pending cessation of symptoms. Gradual return to work, school, and physical activity is also endorsed. For a…

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What is post-concussion syndrome?

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

One common consequence of concussion is the post-concussion syndrome (PCS), which is a group of symptoms that includes headache, dizziness, decreased concentration, memory problems, irritability, fatigue, visual disturbances, sensitivity to noise, judgment problems, depression, and…

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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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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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911 to ER: Discharge

Civil Law, Emergency Department, EMS, Policies and ProceduresBy Tara Godoy

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…

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911 to ER: Emergency Department (ED)

Civil Law, Emergency Department, EMS, Policies and ProceduresBy Tara Godoy

“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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911 to ER: Emergency Medical Services (EMS)

Civil Law, Emergency Department, EMS, Policies and ProceduresBy Tara Godoy

To read the first part of the case scenario, please see last week’s blog post by clicking here. <BEEP> “Medical call at 555 Oak St, cross of Adams Ave and Chester Ln for Paramedic Engine 65…

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