Scary Cases in Otolaryngology follows a case-based approach that focuses on potential pitfalls, decision analysis, mistakes, and "near misses" in the management of patients with head and neck disorders. This is an invaluable resource for otolaryngologists as it presents difficult cases and builds a discussion around clinical management, prevention, and the legal and ethical aspects of those cases. Current and future professionals in otolaryngology can analyze their own methodologies as well as the work of theirpeers to continually promote a safer and healthier environment for their patients.
Scary Cases in Otolaryngology is an extension of the annual Scary Cases Conference held by the Boston University School of Medicine. The conference began in 2011 and aims to improve patient safety by addressing complex and controversial cases thatinvolve increased risk, complications, and unfavorable outcomes. The cases in the text have been selected from previous conference presentations.
This exciting and unique book addresses questions such as
- Did you make a wrong diagnosis before arriving at the correct one?
- Do you believe that you did everything correctly and the outcome was still unsatisfactory?
- Did a patient have a serious condition that was difficult to diagnose?
- Were there major complications?
- Did you have a difficult ethical dilemma?
- Were you required to treat a condition beyond your expertise?
This innovative text includes clinical information on cases provided by faculty from top medical schools along with their narratives on what they learned. Contributors also include experts in medical malpractice and malpractice liability insurance. Practicingotolaryngologists, otolaryngology residents, malpractice attorneys, law students, otolaryngology nurse practitioners and primary care physicians will benefit from the examples in these "scary cases."
Foreword: What We Learn From the Imperfect
George J. Annas
Preface: What Is a Scary Case?
Kenneth M. Grundfast
Section 1. Airway
Chapter 1. Anesthesia Foreign Body: It's Not Over Until It's Over
Daryl Colden and Christopher Jayne
Chapter 2. Airway Foreign Body: Simulation in Action
Gi Soo Lee and David W. Roberson
Chapter 3. Tracheostomy: An Unusual Indication
Edward J. Reardon
Chapter 4. Airway Fire: Why Are They Called "Laser-Resistant" Tubes?
Timothy D. Anderson
Section 2. Risk Management
Chapter 5. The Uninsured Patient: Maintaining the Standard of Care
Wendy B.R. Stern
Chapter 6. Facial Plastic Surgery: The Case Without End
Jeffrey H. Spiegel
Chapter 7. Malingering: An Unusual Stapedectomy Outcome
Terry J. Garfinkle
Chapter 8. Four Things to Keep in Mind to Make Those Scary Cases a Little Less Formidable
Anthony E. Abeln
Chapter 9. Malpractice Defense From the Expert Witness Perspective
R. William Mason
Section 3. Medical Ethics
Chapter 10. Decision-Making Capacity: You Don't Want to Have Surgery, But You Have to Have Surgery
Kevin S. Emerick
Chapter 11. Facial Excision: Maintaining Control in the Face of Cancer
Daniel G. Deschler
Chapter 12. Unrelenting Meniere's Disease: Ear Surgery in an Only Hearing Ear
Daniel J. Lee and Samuel R. Barber
Chapter 13. Unexpected Lymphoma: The Routine Scary Case
Jerry M. Schreibstein
Chapter 14. Tracheotomy: A Scary Chief Complaint
Bruce R. Gordon
Section 4. Neural Injury
Chapter 15. Orbital Hematoma: In the Public Eye
Ralph Metson and Christopher David Brook
Chapter 16. Facial Nerve Injury: The Service Recovery Paradox
Kimberly A. Russell and Robert W. Dolan
Chapter 17. Encephalocele: An Unexpected Finding
Chapter 18. Intracranial Extension: A Benign Disease?
Scharukh Jalisi, Avner Aliphas, Samuel J. Rubin, and Kenneth M. Grundfast
Chapter 19. Skull Base Injury: A Scary Harpoon
Ameer T. Shah and Walid I. Dagher
Chapter 20. Brain Herniation: A Delayed Complication
Scharukh Jalisi, Samuel J. Rubin, and Kevin Wu
Section 5. Vascular Injuries
Chapter 21. Aberrant Carotid: A Bloody Myringotomy
Yehia Mohammed Ashry and Dennis S. Poe
Chapter 22. Radiation Therapy for Laryngeal Cancer: "Organ Preservation"
Jonathan C. Simmonds and Elie Rebeiz
Chapter 23. Helicopter Flight: A Scary Post-Tonsillectomy Bleed
Edward F. Caldwell and Hani Ibrahim
Chapter 24. Sentinel Bleed: The Saturday Night Bleeder
Barry J. Benjamin and Namita R. Murthy
Section 6. Professionalism
Chapter 25. It Was Not Your Fault!
Charles W. Vaughan
Chapter 26. Tunnel Vision: Too Little... Too Late...
Scott Finlay and Mark S. Volk
Chapter 27. Chronic Traumatic Encephalopathy: Who Wants to Fight?
Michael P. Platt and Robert A. Stern
Chapter 28. Helping Your Colleague: No Good Deed Goes Unpunished
Aaron R. Dezube, Christopher W. Tsang, and Mark Vecchiotti