Management of acute upper gastrointestinal bleeding: summary of NICE guidance
Acute upper gastrointestinal bleeding is the commonest medical emergency managed by gastroenterologists in the United Kingdom. The most frequently identified source of bleeding is peptic ulcer disease,...
View ArticleUnnecessary care: are doctors in denial and is profit driven healthcare to...
Unnecessary interventions are estimated to account for 10-30% of spending on healthcare in the US, costing $250bn-$800bn annually and posing potential harms to patients. As Jeanne Lenzer reports,...
View ArticleCardiopulmonary resuscitation
Cardiorespiratory arrest is the most extreme medical emergency—death or permanent brain injury will ensue unless CPR is started within minutes. According to American registry data, about 200 000...
View ArticleDo patients need to know they are terminally ill? No
Emily Collis and Katherine Sleeman say that decision making can be ethically sound only with a fully informed patient, but Leslie Blackhall thinks the concept of “terminal illness” is not clearly...
View ArticleDelivering a digital death
London patients with life limiting illnesses can now record their end of life preferences on a single electronic record. Michael Cross looks at the project’s background and asks if it can ever go...
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