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3 results

  • CHAPTER 8 - Antenatal care for women developing medical or obstetric problems during pregnancy

  • Edited by Tahir Mahmood, Philip Owen, Sabaratnam Arulkumaran, Charnjit Dhillon
  • Book:
    Models of Care in Maternity Services
    Published online:
    05 July 2014
    Print publication:
    01 November 2010, pp 74-80

  • Summary

    During the antenatal period conditions unique to pregnancy may develop, such as pre-eclampsia, gestational diabetes mellitus and obstetric cholestasis, in addition to the less commonly encountered new pathologies, whether medical, surgical or mental. There are several evidence-based guidelines available to assist the clinical management of conditions arising in pregnancy. These include guidelines published by the Royal College of Obstetricians and Gynaecologists (RCOG), which include pregnancy-related conditions, such as obstetric cholestasis. Providers of maternity services must consider women from minority ethnic groups, who may need access to translated written information and professional translators. Optimal patient care requires a continuous cycle of training aimed at all components of the multidisciplinary team. Training obstetricians to become leads in high-risk obstetrics or maternal medicine involves completion of the appropriate Advanced Training Skills Modules (ATSM) or subspecialty training. Regular audit is necessary to ensure that national and local standards of care are being met.

  • 5 - What You Need to Know about Medical Errors

  • Edited by Thomasine Kushner
  • Book:
    Surviving Health Care
    Published online:
    05 June 2012
    Print publication:
    29 March 2010, pp 56-68

  • Summary

    This chapter explains how and why errors happen and offers practical advice to help protect us from becoming the victim of medical error. Errors may have numerous causes. Some errors result from failure of equipment or an institutional system; others are consequences of some human deficiency, such as lack of knowledge, breakdown in communication, or failure of professional responsibility. We all want to improve our understanding of how errors occur so that we can put measures in place to improve the health and safety of patients by decreasing the number and severity of medical errors. For that reason, medical facilities have instituted specific procedures to avoid certain kinds of errors. Every patient should know about their medical problems, the diagnostic plan, and the treatment plan to help avoid medical errors.

  • Medical Support for Emergency Relief Workers After Typhoon Sudal in Yap, Micronesia

  • Robert Partridge, Kevin King, Lawrence Proano
  • Journal:
    Prehospital and Disaster Medicine / Volume 21 / Issue 3 / June 2006
    Published online by Cambridge University Press:
    28 June 2012, pp. 215-219
    Print publication:
    June 2006
  • Introduction:

    On 09 April 2004, Typhoon Sudal struck the Island of Yap in the Federated States of Micronesia (FSM). Over 90% of homes, public utilities, and public property were damaged or destroyed. Nearly 10% of the population was displaced to shelters, and the majority of the population was without drinking water or power. United States disaster workers were deployed to Yap for three months to assist in the recovery and relief efforts.

    Objective:

    The objective of this study was to evaluate the acute healthcare needs of the US disaster relief population serving in a remote setting with limited medical resources.

    Methods:

    A retrospective chart review of all disaster relief workers presenting to an emergency clinic in Yap during the disaster relief effort from April 2004–July 2004 was performed. Investigators extracted demographic data, chief complaints, medical histories, medical management, disposition, and outcome data from the clinic charts.

    Results:

    Together, the 60 disaster workers present on Yap during the relief effort made 163 patient contacts in the disaster emergency clinic. A total of 92% of patient contacts were for minor medical complaints or minor trauma, 13% were for upper-respiratory infections, 9% were for gastrointestinal illness, and 9% were for dermatological problems. Eight percent of visits were for serious medical problems or trauma. Life-threatening illnesses or injuries did not occur.

    Conclusions:

    Disaster relief workers on Yap frequently utilized the disaster relief clinic. In general, disaster workers remained healthy during the relief effort in Yap, and most injuries and illnesses were minor. On-site medical providers resulted in rapid care and stabilization, and after treatment, disaster workers were able to return to duty.