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Biomedical subjects

J M Geiderman

Publications and source records attributed to J M Geiderman.

At least 19 recordsLinked to original sources
PubMed2001

Ethics seminars: Consent and refusal in an urban American emergency department: two case studies.

Patients in the emergency department frequently voice refusals of care or are unable or unwilling to consent to care. While general principles surrounding consent and refusal can be articulated in theory, it is often far more complicated in the real setting. Further, it is impossible to contemplate in advance every possible situation that might arise. In order to properly care for patients, the emergency physician has an obligation to understand ethical principles and the reasoning process one must go through to resolve an ethical dilemma. Emergency physicians face such complex decisions on a routine basis. Ethical reasoning skills are obviously a core competence in emergency medicine, even if easy answers are elusive. Two cases are presented that illustrate this complexity, and routes to resolution are discussed.

Adult↗
PubMed1998

Silent night.

Explore the source record for details and available documents.

Adult↗
PubMed1997

Night sweats.

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Accidents↗
PubMed1981

Immunoprophylaxis of viral hepatitis.

Emergency physicians frequently encounter patients who have been or may have been exposed to viral hepatitis, and are often in a position to offer immunoprophylaxis. Needlestick exposure among hospital employees is endemic in any large hospital. Currently treatment of clinical hepatitis is only symptomatic; rational immunoprophylaxis is the only method available to influence the course of the disease. The basic types of viral hepatitis are reviewed, as are transmission of the disease, serologic tests, high risk groups, and immunoprophylactic agents. Treatment plans are outlined for different types of exposure, and an algorithm is included for management of needlestick exposure.

Hepatitis A↗
PubMed1981

Application of the Cardiotrak pacemaker monitor to prehospital care.

The Cardiotrak is a small, lightweight device originally developed for use by pacemaker patients to transmit their electrocardiograms (ECGs) by telephone to their doctor or to a hospital. The Cardiotrak seemed well suited for use by paramedics and was field tested on 76 patients. In 69 patients, clear ECGs were transmitted with ease; in the remaining seven, only minor, correctable problems were noted. The Cardiotrak appears to have advantages over other devices used to transmit ECGs to base station hospitals from paramedics.

Arrhythmias, Cardiac↗
PubMed1980

Fracture of the penis.

Fracture of the penis is an unusual injury which has been reported fewer than 70 times. The injury results from a sudden bending of the erect penis. Such a force ruptures the tunica albuginea, usually unilaterally, resulting in local bleeding and immediate deturgescence of the penis; the urethra may also be torn. Treatment has not been standardized, and is aimed at restoring normal function and preventing late sequelae. The physician also should be aware of possible psychiatric complications. We present a case diagnosed in our emergency department and treated surgically with good results.

Anxiety↗