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Medical Emergency Case Studies
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Cloning
Imagine being a first year medical surgeon just out of the highest-ranking university in the nation. You are placed in the ER, in the Methodist Hospital building, as your days are spent saving people from the cruel realities that they are forced to live among. Day after day, you see handfuls of people coming in with a variety of gunshot, knife, and domestic violence wounds. Your troubles are easily compensated, however, by receiving over $200,000 a year, a brand new Mercedes, and a house upon the palisade shores. Suppose for a moment that one evening while you are on duty, an ambulance radios in and informs the hospital staff that they are bringing in a multiple gunshot wound victim and to prepare the ER for an immediate operation. You begin to order people around and dictate what needs to be prepared before the ambulance arrives. Finally the victim is present, only to show that he is not the average gangster or policeman, instead it is the near lifeless body of your own son. Your blood freezes; your brain shuts down, as you see every precious second slip away through the lifeless gaze of your child's eyes.
His life and future all depend on you saving his life. He has been shot twice in the chest and his little heart is working ten fold to keep him alive. You realize that the only way to save him is an immediate heart transplant and you have not a second to lose. You yell at the assistant to find the nearest heart donor in hopes that your young son will make it through the night. Unfortunately your hopes are destroyed as the medical assistant informs you that the nearest heart donor is in Spokane, Washington 3,000+ miles away. You slowly turn to see the dying face of your son, and only wish to take the entire burden from his shoulders and hoist it upon yours. Your son gives you an unforgettable look of fear as he slips away into the gates of heaven far from his warm and safe family. You drop to your knees in tears, and you swear you could hear the voice of your deceased son say, "Why? Why didn't you save me mommy?"
Similar instances are faced daily in hospitals all over the world. Children, adults, grandparents, and loved ones all come in one at a time with the hopes of survival in their heads, but with the taste of death in their mouths.
Dr. Atul Gawande, a Harvard Medical School graduate and writer for The New Yorker, phenomenally illustrates the unknown side of healthcare professions in his book, Complications: A Surgeon’s Notes on an Imperfect Science. By exploring the ethical and analytical aspects of medicine while entertaining readers with relatable anecdotes, Gawande impresses on his audience the importance of recognizing the wonders of the healthcare field, as well as the fallibility of those within it.
The Lewis Blackman Case: Ethics, Law, and Implications for the Future Medical errors in decision making that result in harm or death are tragic and costly to the families affected. There are also negative impacts to the medical providers and the associated institutions (Wu, 2000). Patient safety is a cornerstone of higher-quality health care and nurses serve as a communication link in all settings which is critical in surveillance and coordination to reduce adverse outcomes (Mitchell, 2008). The Lewis Blackman Case 1 of 1 point accrued
The triage set up for evacuation didn’t give priority to critically diseased patients; instead many were euthanized by the exhausted medical and nursing crew. Unexpectedly, the rescue came to evacuate the entire hospital on the fifth day of the events. Fink ponders the legal consequences of the deadly choice to euthanize patients and the ethical issues surrounding euthanasia in health care setting during large scale disasters.
Question Quote "I doubt that these experiences are unique to the hospitals or the medical school at which I have thus far trained. I expect that they pervade health care systems throughout the country. I give credit to my medical school for teaching me to be critical of the culture of medicine, apply interdisciplinary perspectives to clinical quandaries, and reflect on my experiences." (Brooks KC. 2015.)
Terminally ill patients deserve the right to have a dignified death. These patients should not be forced to suffer and be in agony their lasting days. The terminally ill should have this choice, because it is the only way to end their excruciating pain. These patients don’t have
Cloning is defined by Webster is “a cell, cell product, or organism that is identical to the unit or individual it was asexually derived” (Webster 150). The actual process of cloning is considerably easier because of trial and error. This process can be helpful and can be deadly in the right hands. In this light, the ethics of cloning has, is, and will be one of the hottest topics of all time.
According to a doctor in the documentary, people are coming to the ICU’s to die. (Lyman et al, 2011) Due to the fact that technology to sustain life is available the decision to end life has become much more complicated yet more people die in hospitals then anywhere else. (Lyman et al, 2011) The story of Marthe the 86 year old dementia patient stood out to me upon viewing the documentary because I recently just had my great grandmother go through the same situation. (Lyman et al, 2011) Marthe entered the ICU and was intubated for two weeks while her family members decided whether to perform a tracheotomy or take her off life support. (Lyman et al, 2011) The family was having a tough time deciding due to the fact that the doctors could sustain Marthe’s life if they requested it. Marthe ended up being taken off the ventilator and to everyone’s surprise was able to breathe but, a day later she could no longer do so and now she has been on life support for a year. (Lyman et al, 2011) Another patient that I took particular interest in was John Moloney a 53 year old multiple myeloma patient who has tried every form of treatment with no success. (Lyman et al, 2011) Despite trying everything he still wanted treatment so he could live and go home with his family but ended up in
(2007). The 'Standard' of the 'Standard'. A Communication Strategy and Brochure for Relatives of Patients Dying in the ICU. The New England Journal of Medicine, 356(5), 469-478. Patton, D. (2004).
In the essay, Cloning Reality: Brave New World by Wesley J. Smith, a skewed view of the effects of cloning is presented. Wesley feels that cloning will end the perception of human life as sacred and ruin the great diversity that exists today. He feels that cloning may in fact, end human society as we know it, and create a horrible place where humans are simply a resource. I disagree with Wesley because I think that the positive effects of controlled human cloning can greatly improve the quality of life for humans today, and that these benefits far outweigh the potential drawbacks that could occur if cloning was misused.
The care of patients at the end of their live should be as humane and respectful to help them cope with the accompanying prognosis of the end of their lives. The reality of this situation is that all too often, the care a patient receives at the end of their life is quite different and generally not performed well. The healthcare system of the United States does not perform well within the scope of providing the patient with by all means a distress and pain free palliative or hospice care plan. To often patients do not have a specific plan implemented on how they wish to have their end of life care carried out for them. End of life decisions are frequently left to the decision of family member's or physicians who may not know what the patient needs are beforehand or is not acting in the patient's best wishes. This places the unenviable task of choosing care for the patient instead of the patient having a carefully written out plan on how to carry out their final days. A strategy that can improve the rate of care that patients receive and improve the healthcare system in general would be to have the patient create a end of life care plan with their primary care physician one to two years prior to when the physician feels that the patient is near the end of their life. This would put the decision making power on the patient and it would improve the quality of care the patient receives when they are at the end of their life. By developing a specific care plan, the patient would be in control of their wishes on how they would like their care to be handled when the time of death nears. We can identify strengths and weakness with this strategy and implement changes to the strategy to improve the overall system of care with...
Cloning is a genetic copy or clone of someone .Cloning can help in Health, Heart Attack, Brain damage, spinal cord, and Heart Disease. And I Think scientist should keep cloning to help people and Animal cloning is becoming a useful technique for producing farm animals and is likely to be used to produce clones from valuable adults. Other applications will also undoubtedly be discovered in the near future, such as for preserving endangered breeds and species. Although cloning promises great advantages for commerce and research alike, its outcome is not always certain due to high pregnancy loss and high morbidity and mortality during the neonatal period. Research into the mechanisms involved in the reprogramming of the nucleus is being conducted throughout the world in an attempt to better understand the molecular and cellular mechanisms involved in correcting these problems. Although the cause of these anomalies remains mostly unknown, similar Phenotypes have been observed in calves derived through in vitro fertilization, suggesting that culture conditions are involved in these phenom...
Reproductive cloning is term which often brings up quarrel among individuals. Currently, reproductive cloning is forbidden across the county; however, more and more people try to argue that it should be legalized. Do we really understand the concept of the term, and we know what the potential outcomes may be if reproductive cloning were to be legalized? Granted, the idea of cloning may seem like a big step toward improving biotechnology in the world; but, despite this fact, many individuals argue against it. This paper will argue that the legalization of reproductive cloning may potentially result in social, moral and economic problems.
The subject of death and dying is a common occurrence in the health care field. There are many factors involved in the care of a dying patient and various phases the patient, loved ones and even the healthcare professional may go through. There are many controversies in health care related to death, however much of it roots from peoples’ attitudes towards it. Everyone handles death differently; each person has a right to their own opinions and coping mechanisms. Health care professionals are very important during death related situations; as they are a great source of support for a patient and their loved ones. It is essential that health care professionals give ethical, legal and honest care to their patients, regardless of the situation.
1) Robertson, John A. “Human Cloning and the Challenge of Regulation,” The New England Journal of Medicine, vol. 339, no. 2 (July 9, 1998), pp. 119-122.
What Dolly is to biology can be likened to what nuclear bomb is to physics. And just like the latter, Dolly brings with it a host of controversies. Dolly redefined nature the same way Fat Man and Little Boy redefined warfare in 1945. The impact to the human civilisation is what makes both Dolly and nuclear physics so great, and controversial. It needs not take long for everyone to realise the Pandora's box that Dolly has pried open, even for someone who knows nothing about biology like myself.