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3. Duty of care and medical negligence.

Author

Bryden, Daniele and Storey, Ian

Subjects
*CRIMINAL law, *CRITICAL care medicine, *LEGAL liability, *MALPRACTICE, *NEGLIGENCE, *CONTINUING education units
Abstract

The article discusses medical negligence that arise from failure in upholding suitable standard care. It describes the three-stage test for determining negligence, the medical duty of care and breach of duty when physician practice does not meet the proper standard or the "man on the Clapham omnibus." It also notes the fitness to practice General Medical Council procedures for doctors found guilty of criminal negligence, the prosecution and liabilities of doctors for medical negligence.

Published
2011
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5. Parenteral nutrition in critical care.

Author

Macdonald, Kirsten, Page, Kevin, Brown, Lisa, and Bryden, Daniele

Subjects
*MALNUTRITION treatment, *AMINO acids, *BASAL metabolism, *BLOOD sugar, *CARBOHYDRATES, *CATASTROPHIC illness, *ELECTROLYTES, *ENTERAL feeding, *LIPIDS, *NUTRITIONAL assessment, *PARENTERAL feeding, *PARENTERAL solutions, *PATIENT monitoring, *TRACE elements, *VITAMINS, *CONTINUING education units, *REFEEDING syndrome, *THERAPEUTICS
Abstract

The article discusses the role of parenteral nutrition (PN) in critical care. During critical illness, if a patient is not able to have food by regular means, enteral nutrition (EN) must be given; PN is commenced within 24–48 hours if EN is contraindicated or cannot be tolerated. Prescriptions for PN need to be individualized to a patient’s need based on premorbid status and current physiological needs and should involve a multidisciplinary team approach.

Published
2013
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