Medical Care in a Police Intervention with Conducted Electrical Weapons: Zaragoza (Spain) Fire Department Protocol

2021 ◽  
pp. 1-6
Author(s):  
Armando Cester-Martínez ◽  
Leticia Serrano-Lasaosa ◽  
Diego Borraz-Clares
Keyword(s):  
Health Care ◽  
Law Enforcement ◽  
Health Care Providers ◽  
Medical Literature ◽  
Fire Department ◽  
Risk Groups ◽  
Clinical Effects ◽  
Care Providers ◽  
Law Enforcement Agencies ◽  
The Subject

Abstract In the last decade, conducted electrical weapons (CEWs) have become a new tool for law enforcement agencies as an alternative to firearms. They provide security in the intervention for both the police and the citizen and try to cause the least possible harm to the subject to immobilize. The health care providers who perform in joint actions with the police in which CEWs are used should be aware of how they work, risk groups, as well as the most frequent clinical effects associated with the application of electrical discharge, and the complications that can be produced according to the area of impact of the electrodes. For this purpose, the current medical literature was reviewed by consulting the main health care sciences database (PubMed) to determine the medical measures to be taken before, during, and after the use of these weapons. Also presented and shared is the Zaragoza (Spain) Fire Department protocol.

scholarly journals Communication of Recommendations for the Disposal of Unused Prescription Opioid Medications by Stakeholders in the News Media

Pain Medicine ◽  
2019 ◽  
Vol 20 (9) ◽  
pp. 1711-1716 ◽  
Author(s):  
Megan L Petrik ◽  
Patrick J McNamara ◽  
Susan M Moeschler ◽  
Benjamin D Blair
Keyword(s):  
Health Care ◽  
Law Enforcement ◽  
Health Care Providers ◽  
News Media ◽  
Prescription Opioid ◽  
Environmental Harm ◽  
Prescription Opioids ◽  
Care Providers ◽  
Take Back ◽  
Opioid Medications

Abstract Objective The opioid epidemic is a national public health emergency that requires a comprehensive approach to reduce opioid-related deaths. Proper and timely disposal of unused prescription opioids is one method to deter improper use of these medications and prevent overdose. The objective of this study was to understand how recommendations for disposing of unused prescription opioids, including both take-back programs and toilet disposal, are communicated to the public. Methods Two hundred sixty-three US newspaper articles published between January 1, 2014, and June 30, 2017, containing information on opioids and take-back programs were found using LexisNexis. Using content analysis, articles were coded for the presentation of and recommendation for opioid disposal practices, beliefs about environmental harm from toilet disposal, and additional strategies to reduce opioid supply. The entity responsible for the statement was also captured. Results Take-back programs were presented as a recommended disposal strategy for unused prescription opioids in 88.6% of coded articles. Toilet disposal was presented as a recommended disposal strategy for unused prescription opioids in 3.4% of articles and as harmful to the environment in 16.0% of articles. Individuals from health care, government, and law enforcement were primarily involved in discussing opioid disposal practices. Conclusions Although toilet disposal is recommended by the US Food and Drug Administration (FDA) for disposal of unused prescription opioids when a take-back program is not readily available, it was infrequently presented or recommended in news media articles. These results highlight the importance of improving communication of FDA guidelines for opioid disposal in the media, particularly by health care providers, government employees, and law enforcement officials.

The fentanyls: pharmacological and clinical aspects relevant to Australia

2020 ◽  
Vol 28 (5) ◽  
pp. 542-544
Author(s):  
Shaun L Greene ◽  
Anton Scamvougeras ◽  
Amanda Norman ◽  
Yvonne Bonomo ◽  
David J Castle
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
North American ◽  
Clinical Aspects ◽  
Clinical Effects ◽  
Care Providers ◽  
Policy Makers ◽  
Drug And Alcohol ◽  
Overdose Deaths

Objective: North American and other jurisdictions have seen an alarming rise in the abuse of the fentanyls, with related overdose deaths. We sought to review this group of drugs to alert Australian psychiatrists and drug and alcohol clinicians to their clinical effects and potential harms. Conclusions: The extreme potency of the fentanyls underlie their lethality. Vigilance and investment from both policy makers and health care providers are required to mitigate harm from a possible future Australian fentanyl epidemic.

scholarly journals One Institution - 2 Podcasts - Our experience

2019 ◽  
pp. 01-09
Author(s):  
Tony R Tarchichi ◽  
Jessica Garrison ◽  
Kishore Vellody
Keyword(s):  
Health Care ◽  
Down Syndrome ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Hospital Medicine ◽  
Care Providers ◽  
Pediatric Hospital ◽  
University Of Pittsburgh ◽  
The Subject ◽  
The University

Objectives: Podcasts have increased in popularity since the early 2000s. The number of medical podcasts created by physicians for patients and/or health care providers is increasing. With the increase in podcasts' popularity and their convenience, podcasts have significant potential for use as an educational tool. Methods: Faculty at the Children's Hospital of Pittsburgh of UPMC have created two podcasts, the Pediatric Hospital Medicine (PHM) podcast and the Down Syndrome Center (DSC) of Western Pennsylvania Podcast. This paper is a descriptive review of both podcasts. The PHM podcast was created for health care providers who care for hospitalized children. The DSC podcast was started as a source of reliable information for parents of children with Down syndrome. Results: The PHM podcast has over seventeen thousand downloads in over sixty-seven countries. The DSC podcast has over twenty-three thousand downloads in over sixty-nine countries. The PHM podcast has an option for listeners to get CME credit after they listen to the podcast if they click on a link at the University of Pittsburgh website and answer a few questions. Data from responses to these questions demonstrates that 83% of the respondents reported that the podcast either highly or very highly enhanced their knowledge of the subject matter, and 86.8% reported that the content of the podcast was highly or very highly relevant to their work. Conclusion: These results suggest podcasts are a popular and useful tool for disseminating information to families and health care professionals.

Analgesia, Virtue, and the Principle of Double Effect

2000 ◽  
Vol 16 (1_suppl) ◽  
pp. S24-S30 ◽  
Author(s):  
Laura A. Hawryluck ◽  
William R.C. Harvey
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Health Care Providers ◽  
Medical Literature ◽  
Double Effect ◽  
Care Providers ◽  
Dying Patients ◽  
Principle Of Double Effect ◽  
Important Challenge

The principle of double effect is widely used to permit the administration of narcotics and sedatives with the intent to palliate dying patients, even though the administration of these drugs may cause hastening of death. In recent medical literature, this principle's validity has been severely criticized, causing health care providers to fear providing good palliative care. Most of the criticisms levelled at the principle of double effect arise from misconceptions about its purpose and origins. This discussion will explore how virtue-based ethics can overcome the most important challenge to the principle of double effect's validity, that of its reliance on intention to determine whether the administration of analgesia is ethically acceptable.

Hospital Consent for Disclosure of Medical Records

1998 ◽  
Vol 26 (3) ◽  
pp. 241-248 ◽  
Author(s):  
Jon F. Merz ◽  
Pamela Sankar ◽  
Simon S. Yoo
Keyword(s):  
Health Care ◽  
Child Abuse ◽  
Law Enforcement ◽  
Patient Care ◽  
Health Care Providers ◽  
Medical Records ◽  
General Rule ◽  
Care Providers ◽  
Bodily Harm ◽  
Prior Consent

Physicians and other health care providers owe ethical and legal duties to patients to maintain the secrecy of the information learned during the course of patient care. This obligation is fulfilled by limiting access to such information to only those involved in the patient's care-that is, to those within the “circle of confidentiality.” As a general rule, providers may only disclose to others with the written prior consent of the patient. Exceptions may be “ethically and legally justified because of overriding social considerations,” when permitted or compelled by law. For example, eleven states permit providers to disclose identified records to approved researchers.’ Many states compel disclosure in cases where a patient threatens serious bodily harm to another; require reporting to health or law enforcement authorities of communicable diseases, gunshot or knife wounds, or child abuse; and mandate reporting of cancer or other health care cases to state registries (such as immunization, birth, and abortion).

The 21st Century and Alternative Medicine: PAMA’s Role

2000 ◽  
Vol 15 (3) ◽  
pp. 97-98
Author(s):  
Alice G Brandfonbrener
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
21St Century ◽  
Special Interest ◽  
Performing Arts ◽  
Care Providers ◽  
Recent Past ◽  
Performing Arts Medicine ◽  
The Media ◽  
The Subject

Over the years I have found that along with the obligation to find suitable topics for these quarterly editorials comes an opportunity for me to sort out and organize some otherwise random thoughts and ideas. It is as if by the act of writing that I can (at least sometimes) ultimately make better sense to myself and, hopefully, to you as well. In this vein some of my recent experiences have forced me into rethinking some of my ideas about nontraditional therapies, particularly as they relate to performing arts medicine. Unconventional medicine is a topic that has received greatly increased attention in the recent past by the general public and the media, as well as by health care providers and health insurers. Because those involved with performing arts medicine have reason to have a special interest in this area, an updated new look at the subject for readers of MPPA seems justified.

Adolescent Pregnancy—Where Is the Unwed Teenage Father?

PEDIATRICS ◽  
1979 ◽  
Vol 63 (5) ◽  
pp. 824-824
Author(s):  
Arthur B. Elster ◽  
Susan Panzarine
Keyword(s):  
Health Care ◽  
Adolescent Pregnancy ◽  
Health Care Providers ◽  
Teenage Pregnancy ◽  
Financial Assistance ◽  
Psychosocial Risk ◽  
Care Providers ◽  
Psychosocial Risks ◽  
Repeat Pregnancy ◽  
The Subject

As discussed by McAnarney et al (Pediatrics 61:199, February 1978), a comnprehensive teenage maternity program can have an effect on reducing the psychosocial risk of repeat pregnancy. School attendamice figures and reliance on government financial assistance, however, did not differ between the groups they studied. Perhaps the missing key to reducing the psychosocial risks of teenage pregnancy may be found by including the girl's partner in the activities offered by maternity programs. Since the work of Pannor et al1 in 1969, there has been a paucity of literature addressing the subject of the unmarried teenage father, and health care providers show little interest in encouraging these teenage boys to share in the responsibility of the pregnancy.

Human Trafficking: First Responders in Health Care

2021 ◽  
Vol 48 (4) ◽  
pp. 349-367
Author(s):  
Elizabeth Peffer Talbot ◽  
Yumi E. Suzuki
Keyword(s):  
Health Care ◽  
Law Enforcement ◽  
Human Trafficking ◽  
Health Care Providers ◽  
Health Care Workers ◽  
First Responders ◽  
School Nurses ◽  
Care Providers ◽  
First Responder ◽  
Care Workers

This article addresses the problems first responders encounter when attempting to identify and rescue survivors of human trafficking. Research indicates that 87.8% of women who escape captivity report they saw a health care provider at least once during captivity. This makes health care providers a critical first responder partner. First responders include law enforcement officers, health care providers, school nurses, and faith-based organizations. Health care workers are most likely to encounter survivors while in captivity. Multi-disciplinary collaborations between health care workers and law enforcement provide increased opportunities to share knowledge and recognize signs of human trafficking in patients. Theoretical paradigms have been used to analyze and anticipate changes in criminal activity and identify victims. Multi-disciplinary teams have developed a check-list of behaviors typical of captives and a questionnaire that illuminates captivity. The article further comments on the reported impact of COVID 19 on the health care’s system ability to recognize victims. It presents the many contributions of school nurses and the faith community to the first responder movement.        

scholarly journals Effects of prescription drug diversion, misuse and abuse on the health system in eThekwini District, KwaZulu-Natal, South Africa: Key stakeholders’ perceptions

2019 ◽  
Author(s):  
Buyisile Chibi ◽  
Tivani P Mashamba-Thompson
Keyword(s):  
Health Care ◽  
Law Enforcement ◽  
Health System ◽  
Prescription Drug ◽  
Health Care System ◽  
Health Care Providers ◽  
Care Providers ◽  
Drug Diversion ◽  
Key Stakeholders ◽  
Care System

Abstract Background: Prescription drug diversion, misuse and abuse is a growing health threat negatively impacting the health care system and individuals globally. Most research has been conducted in high-income-countries. Little is known about prescription drug diversion, misuse and abuse to support anecdotal reports in resource-limited settings. Purpose: The main objective of this study is to determine prescription drug diversion, misuse and abuse practices in eThekwini district from the perspective of the health care providers, law enforcement, pharmacists, drug users and people living with HIV. Methods: Semi-structured in-depth-interviews were conducted between June-December 2018 among key stakeholders who were purposively sampled in eThekwini district. Thematic analysis was used to identify emergent themes around practices of prescription drug diversion, misuse and abuse. Results: Five main themes emerged during the interviews: manifestation of drug diversion; consumer’s attitude and behaviour; availability of medicines; gaps in the health care system; and lastly challenges and barriers to drug abuse treatment. Accidental addiction, health system gaps and consumer’s attitude and behaviours were perceived as significant contributing factors to the problem therefore negatively impacting health care providers and consumers. Conclusion: The study highlights the emerging practices of prescription drug diversion, misuse and abuse as a serious growing problem occurring through legal and illegal channels to anyone since the addictive medicines are readily available and easily accessible. We recommend a collaborative approach to address prescription drug diversion since the prescriber, dispenser, consumer and law enforcement are involved in the cycle to drug usage.

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