Postponing the Last Breath

By definition, out-of-hospital cardiac arrest (“OHCA”) is the gravest emergency humans can face.  According to the American Heart Association’s Heart Disease and Stroke Statistics – 2018 Update, http://circ.ahajournals.org/content/early/2018/01/30/CIR.0000000000000558, the mortality rate is nearly 90%.  Survival depends on immediate intervention, first…

Guideline Mischief

In 2016, CDC released its Guideline for Prescribing Opioids for Chronic Pain. Dowell, D., Haegerich, T.M., Chou, R., “CDC guideline for prescribing opioids for chronic pain — United States, 2016,” 65 MMWR Recomm. Rep. 1-49 (2016), https://www.cdc.gov/mmwr/volumes/65/rr/rr6501e1.htm.   Recently, the…

Virginia Board of Medicine, Guidance 85-12 “Telemedicine,” Part 3

In the first installment in this series, https://medicalawfirm.com/2019/03/05/virginia-board-of-medicine-guidance-85-12-telemedicine/, we considered the import, under the law of Virginia, of guidance documents from state agencies. In brief, they are not binding. They are not law. In the second, https://medicalawfirm.com/2019/03/06/virginia-board-of-medicine-guidance-85-12-telemedicine-part-2/, we examined the…