John Cafaro MD
A 30 year-old female presents altered and minimally responsive. She was found next to an empty bottle of Valproic Acid. Her blood pressure is 130/80, heart rate is 90, afebrile and without tachypnea or hypoxia. You stabilize her. Depakote level is 550. What is the treatment of the choice?
Answer: A, L-carnitine
- A dispute between two parties.
- Burden of proof is based on a "preponderance of evidence".
- Punishment is monetary without threat for incarceration.
- Government or state brings action against an individual/ entity accused of wrongdoing.
- Burdern of proof is "beyond a reasonable doubt".
- Punishment is incarceration or fines.
Negligence - There are 4 elements.
One of the best risk management strategies is clear discharge instructions.
- Estimated that half of lawsuits in EM are related in someway to discharge planning.
Instructions should be time specific and action specific and include what to return to the ER for.
A 43 year old female is involved in an motor vehicle collision. She complains of facial and dental pain. Exam reveals a broken lateral incisor. A pink spot is noted on the surface of the tooth. What is the diagnosis?
A. Ellis Class I Dental Fracture
B. Ellis Class II Dental Fracture
C. Ellis Class III Dental Fracture
D. Dental Subluxation
Answer: C - Ellis Class III Dental Fracture