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Home > ERCAST > 62. Primum Non Nocere (First, Do No Harm)
Podcast: ERCAST
Episode:

62. Primum Non Nocere (First, Do No Harm)
Category: Religion & Spirituality
Duration: 00:20:52
Publish Date: 2021-10-18 08:30:00
Description:

In this episode we hear from eight leading physician educators about a core principle of patient care:  primum non nocere. We learn that limiting harm can translate into doing what’s medically right, putting the patient’s welfare first, judicious use of IV fluids, reducing opioid prescribing, making a habit of pausing when depleted, acknowledging the end of life, and allowing a natural death. 

 

Listen on:

 

Guests:  Cam Berg MD, Neda Frayha MD, Scott Weingart MD, Josh Russell MD, Haney Mallemat MD, Alan Sielaff MD, Vicky Vella MD, and Mike Weinstock MD

 

 We Discuss:

  • The importance of figuring out the core principles that drive your medical decision-making [1:30];
  • Primum non nocere, and how it is good for patients and good for us [02:40];
  • Cameron Berg is concerned about the harm caused by excessive prescription of opiates in the ED [05:10];   
  • Neda Frayha learned that ordering more tests on patients can cause more harm than good [07:25];. 
  • Scott Weingart applies the “do no harm” principle to the use of IV fluids when resuscitating patients in septic shock [09:20];
  • Josh Russell tries to limit harm by thinking about what he’d want to have done, if he were in his patient’s shoes [11:00];
  • Haney Mallemat has come to learn that many patients are predestined for bad outcomes, and the provision of maximal therapy is actually harmful [13:40];
  • Alan Sielaff uses shared decision-making to help guide him in doing no harm [15:50];
  • Vicky Vella believes that “do no harm” is recognizing when a patient is near the end of their life and, as a physician, trying to act in a way that reflects that [16:20];
  • Mike Weinstock makes an effort to treat all patients as he would treat them if they were his own family member [17:15];

And more.

 

Shownotes by Melissa Orman, MD

For complete and detailed show notes, previous episodes, or to sign up for our newsletter: https://www.stimuluspodcast.com/

 

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