The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society
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Historical Article
A brief history of northwest Louisiana neurosurgery.
The Louisiana State University Health Sciences Center Department of Neurosurgery in Shreveport consistently strives to maintain the most current innovations in the neurosurgery field and to produce neurosurgeons of the highest quality. The history of the neurosurgery department is deeply tied to the history of neurosurgery in northwest Louisiana, and it is impossible to discuss one without the other. The department stems from a rich history of cooperation among prominent physicians, politicians, and volunteers, and it is of indeterminable value to explore the department's history as it expands and takes a more prominent role on a national level.
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The supply of available organs for donation is limited. In this article we describe the legal and ethical principles surrounding donation of organs from a prisoner.
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Case Reports
Clinical case of the month. A 29-year-old man with acute onset blurry vision, weakness, and gait abnormality. Stroke.
A 29-year-old man, with no significant past medical history, was in his usual state of health until the afternoon of admission. The patient was seated at work eating lunch when he suddenly noticed that his vision became blurry. He covered his right eye and had no visual difficulty but noted blurry vision upon covering his left eye. ⋯ Doppler ultrasound of extremities revealed no evidence of deep venous thrombosis. A complete resolution of symptoms occurred by the third hospital day. The patient was discharged on full dose aspirin and a statin and was referred for consideration of enrollment in a PFO closure versus medical management trial.
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Fragmentation exists nationwide in regards to Emergency Medical Services (EMS). This fragmentation is evident throughout the EMS system in the way we educate, train, certify, and recertify the pre-hospital professional. In Louisiana EMS, there are two facets of our education system: the training/education institution and the instructors who facilitate the education. ⋯ Louisiana will also be adopting the National Registry's Accreditation Policy, which will require all advanced level education (Paramedic) to be conducted by CoAEMSP (Committee on Accreditation of Educational Programs for the EMS Profession) institutions. Louisiana's challenge will exist with the adoption of the Scope of Practice Model levels and the movement of our current certification system to a licensure system. The goal is to create an EMS system in Louisiana that is substantiated by a national curriculum, national accreditation, a national scope of practice and the passage of a national examination.