Emergency medicine clinics of North America
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This article discusses the art of medicine as it relates to effective teaching. Valuable contributions to such teaching are made through applying ethical considerations to situations unique to emergency medicine. The author includes several appendices for further information on this vital topic.
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A framework for the ethical conduct of research is constructed within this article. The historical developments and current state of ethical principles and regulations guiding ethical conduct of research are reviewed, while situations unique to emergency medicine research are highlighted. Also discussed are the related issues of scientific misconduct, conflict of interest, authorship guidelines, and publication ethics.
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The integration of an honor code in medical school curricula might be a means to enhance the moral education of medical students. In recent years, the subject of medical ethics has seen a rebirth; not only is the literature replete with material but the training of physicians is centered in no small way upon the inculcation of a core set of values that will accompany students throughout their careers. However, medical ethics as currently taught remains abstract and, often, intangible for young physicians in training. This article will address the means by which the use of an honor code in modern medical schooling might foster a more virtuous and ethical individual and, in turn, physician.
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Emerg. Med. Clin. North Am. · Feb 1999
ReviewEvaluation of the patient with shortness of breath: an evidence based approach.
Shortness of breath is a common presenting complaint of emergency department patients, and may result from a number of different causes. Work-up to determine the etiology in a given patient may be challenging. The authors undertook a literature review limited to causes of dyspnea other than reversible airway disease. The results of this review are discussed herein, as well as recommendations for further research.
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Emerg. Med. Clin. North Am. · Feb 1999
Evaluation of the patient with extremity trauma: an evidence based approach.
This article reviews relevant literature to provide evidence based guidelines for the evaluation of patients with extremity trauma in the emergency department. The development of clinical decision rules for extremity trauma in the ankle and knee, and guidelines for obtaining postreduction radiographs of shoulder dislocations and nursemaid's elbows are discussed.