Presents a effectively balanced editorial on the controversy surrounding the therapy of carbon monoxide poisoning with hyperbaric oxygen.1 This can be refreshing, as a preceding editorial within the BMJ was not so objective.2 Weaver mentions four prospective randomised studies of normobaric versusAuthor’s reply Editor–Scheinkestel et al clarify the concerns with regards to concomitant depression, delay to hyperbaric oxygen, and cluster randomisation in their clinical trial.1 I agree that attempted suicide probably did not bias the outcome amongst the two arms.two The dataBMJ VOLUME8 JULYbmj.comLettershyperbaric oxygen. Ann Emerg Med 1995;25:474-80. four Raphael JC, Elkharrat D, Jars-Guincestre MC. Trial of normobaric and hyperbaric oxygen for acute carbon monoxide intoxication. Lancet 1989;ii:414-9. 5 Smith JS, Brandon S. Morbidity from acute carbon monoxide poisoning at three-year follow-up. BMJ 1973;i:318-21. 6 Weaver LK, Hopkins RO, Howe S, Larson-Lohr V, Churchill, S. Outcome at 6 and 12 months following acute CO poisoning. Undersea Hyperb Med 1996;23(suppl):9-10. 7 Ducasse JL, Celsis P, Marc-Vergnes JP. Non-comatose patients with acute carbon monoxide poisoning: hyperbaric or normobaric oxygenation Undersea Hyperb Med 1995;22:9-15.Investigations of medical doctors by General Health-related CouncilProcedure for consent nonetheless leaves a lot to be preferred Editor–As a patient advocate who attended the entire hearing from the case against gynaecologist Ian Fergusson, I was disappointed in the complacency inherent within the QS11 panel’s assertion that “fortunately” the consent procedure has “been improved” within the eight years because the incident.1 Some hospitals have undoubtedly created excellent strides. Individuals regularly report, nonetheless, that the process adopted in several hospitals major to their signature on a totally unacceptable consent kind still leaves a whole lot to be preferred. They still PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/20185357 usually do not have an opportunity to determine in writing any process to which they object, and they may be nevertheless expected to sign that almost everything has been explained, regardless of the absence of supporting written proof. Even though the General Medical Council has developed great recommendations,two their application is usually a matter of local whim. A related circumstance applies to recommendations on consent to anaesthesia.3 Consent to anaesthesia and surgery is actually a matter of fundamental human rights. It ought to not be a matter of individual hospital policy. Unless new regulations enforceable in all trusts are evolved by patient representatives operating in partnership together with the profession and also the government, we are most likely to determine a lot more such instances, in which you will discover no winners, only losers. Public trust and self-confidence in health-related practice will continue to endure unnecessarily, towards the detriment of patients and medical doctors alike.Roger M Goss director (and lay member, BMJ editorial board) Patient Concern, PO Box 23732, London SW5 9FY [email protected] Dyer D. Gynaecologist cleared in hysterectomy case. BMJ 2000;320:535. (26 February.) two Common Healthcare Council. In search of patients’ consent: the ethical considerations. London: GMC, 1998. 3 Association of Anaesthetists of Excellent Britain and Ireland. Info and consent for anaesthesia. London: AAGBI, 1999.complaints against him relating to his surgery. I have difficulty, even though, together with the concept of investigation connected to a single case in what I suspect is an otherwise blameless profession of a doctor who has completed substantially excellent in the course of his expert life. The situation that causes me considerably greater concern, howev.
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