Biomedical subjects
Publications and source records attributed to M M Rice.
This case illustrates an approach to resolve a frustrating problem associated with Foley catheter balloon obstructions. By identifying its position in the urethra, the balloon can be deflated with minimal effort and limited urethra injury, using the suggested technique of transperineal needle insertion.
1. Express consent is desirable in caring for patients. However, in an emergency, when the patient is incapable of giving valid consent and harm from failure to treat is potentially imminent, care must be provided. 2. Presentation of a combative patient to an Emergency Department implies a duty of the emergency physician to render assistance according to standards of emergency medical care. 3. Third-party interests must be considered when other patients, coworkers, or potential victims of harm or violence are foreseeably recognized.
The process of providing emergency care is a difficult one. In pediatric emergency care, this process is complicated by a host of factors, including special legal considerations. A basic identification of these legal issues as discussed will enhance the ability of the emergency physician to feel more comfortable in an already complicated work environment. More important, a working knowledge of legal principles allows additional time during a crisis to focus on quality medicine rather than ponder legal considerations. When questions of law versus medicine conflict, it is best to consult competent legal authority. When time does not permit such access, it is imperative that proper medical care is pursued to the best ability of the physician provider. No matter what the legal outcome in a particular case, one must feel comfortable within professional practice standards and be able to live with oneself.