Case Presentation: 53-year-old woman with locally recurrent melanoma and a family history of Huntington’s Disease (HD) presented with complications of cerebral venous sinus thrombosis and subdural hematomas. On hospital day 2, she suffered a cardiac arrest in the setting of QTc prolongation from antiemetics leading to dependence on hemodialysis, mechanical ventilation, and pressors. She was […]

Background: Non-beneficial treatment can be defined as medical interventions that are ineffective in achieving a patient’s desired goals or subject patients to discomfort without significant clinical benefit. At times, critically-ill patients are declined Intensive Care Unit (ICU) admission due to perceived lack of benefit but continue to be medically managed on the general medical floor. […]

Case Presentation: A 30-year old woman with antiphospholipid antibody syndrome secondary to lupus with extensive arterial and venous thrombotic history presented to the emergency department with left lower extremity pain, coolness, and skin blanching for seven days. She had stopped taking her chronic anticoagulation medication two months prior to admission when she ran out of […]

Background: Clinical ethics consultation can promote ethical delivery of care by helping identify ethical questions, frame clinical decisions in the context of values, clarify policies and address the care team’s moral distress. Though hospitalists routinely grapple with ethical dilemmas, there is a paucity of literature on characteristics and value of ethics consults (ECs) in hospital […]