Articles

Complications and failures in airway management

While complications of airway management are surprisingly common, most are minor in nature. Major complications are rare, and although they have the potential to be life-threatening, they tend to result in morbidity rather than mortality (1-4).…
Categories : Articles, Intensive care
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The Medical and Medicolegal Implications of the Undertreatment of Pain

Pain is the commonest reason for a patient to visit their doctor, with around 25% of adults suffering from chronic pain at any one time, a figure that rises to around 50% in the over-65s.…
Categories : Articles, Pain
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Outcomes following upper limb injuries and their medicolegal implications

Injuries to the upper limbs can arise as the result of both disease processes, often associated with repetitive movements and wear and tear, and traumatic accidents. While many conditions can be treated successfully, the loss…
Categories : Articles, Trauma and orthopaedics
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The Medicolegal Aspects of Nerve, Muscle and Tendon Injury

Muscles and tendons (collectively known as musculotendinous units), and nerves are soft tissues that are found throughout the body (see figure 1). Nerves electrically stimulate the muscles, which pull on tendons which move bones – this…
Categories : Articles, Plastic Surgery
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A medicolegal perspective on osteoradionecrosis

Osteoradionecrosis (ORN) of the jaws is a well-known complication of radiation therapy to the head and neck. ORN is defined as an area of exposed necrotic bone in an area previously irradiated that fails to…
Categories : Articles, Oral and Maxillofacial Surgery
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The challenges of airways management in the Intensive Care Unit

Airway management techniques were first developed in the field of anaesthesia, and advanced airway management is still an extremely important factor in the care of the critically ill patient. For this reason, intensive care medicine…
Categories : Articles, Intensive care
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The Medicolegal Implications of Phantom Limb Pain and its Prevention

The term ‘phantom limb pain (PLP)’ describes the painful sensations experienced in a part of the body that has been amputated, which persist after complete healing of the associated surgical wound. It is an extremely…
Categories : Articles, Pain
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Facial trauma in a medicolegal context

Facial trauma can be a major cause of morbidity, particularly in young adults. This is because the head and neck region contains the major sensory and functional organs. A major component of the morbidity is…
Categories : Articles, Oral and Maxillofacial Surgery
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Somatoform Pain Disorder: Pre-accident psychological history and vulnerability and the BUT FOR test in the absence of a trigger

Somatoform disorder (SD) is defined as physical symptoms suggestive of a medical condition which are unexplained by an underlying disease or mental disorder. Somatoform symptoms are common, and mild ones, such as stress as a…
Categories : Articles, Ivan Ramos-Galvez, Pain
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Potential Medicolegal Pitfalls Arising from the Unpredictable Progression of Premalignant Conditions to Oral Cancer

It is well established that oral cavity cancer, commonly squamous cell carcinomas, develops in a two-step process involving molecular and biochemical cellular alterations. This pathological evolution can be associated with clinical changes of the affected…
Categories : Articles, Oral and Maxillofacial Surgery
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