Multimorbidity: Who Will Manage?

Using care plans to better manage multimorbidity.

BACKGROUND The health care for patients having two or more long-term medical conditions is fragmented between specialists, allied health professionals, and general practitioners (GPs), each keeping separate medical records. There are separate guidelines for each disease, making it difficult for the GP to coordinate care. The TrueBlue model of collaborative care to address key problems in managi...

Transit-Induced Gentrification: Who Will Stay, and Who Will Go?

Training doctors to manage patients with multimorbidity: a systematic review

BACKGROUND Patients with multimorbidity (two or more chronic conditions) are now the norm in clinical practice, and place an increasing burden on the healthcare system. Management of these patients is challenging, and requires doctors who are skilled in the complexity of multiple chronic diseases. OBJECTIVE To perform a systematic review of the literature to ascertain whether there are educat...

Who Should Manage the Airway?

In a recent special issue of RESPIRATORY CARE, Daniel Talmor presented a very nice review of airway management during a mass-casualty event.1 He rightly pointed out that only experienced clinicians should perform intubation in these circumstances, and that training clinicians for the sole purpose of providing intubation during a mass-casualty event is unwise. He also listed anesthesiologists, c...

Olympics : who will survive ?

I t is evident that anyone required to perform at a high level in sport or other physically demanding occupation has a limited number of years before demands made on the body begin to take their toll, sometimes accompanied by difficulties of a psychological nature. Although there may be a good deal of informal support from family, friends, and perhaps even other athletes who have retired, in so...