62. Primum Non Nocere (First, Do No Harm)

<p><span style="font-weight: 400;">In this episode we hear from eight leading physician educators about a core principle of patient care:  primum non nocere. We learn that limiting harm can translate into doing what’s medically right, putting the patient’s welfare first, judicious use of IV fluids, reducing opioid prescribing, making a habit of pausing when depleted, acknowledging the end of life, and allowing a natural death. </span></p> <p> </p> <p><span style="font-weight: 400;">Listen on:</span></p> <ul> <li style="font-weight: 400;" aria-level="1"><a href= "https://podcasts.apple.com/us/podcast/stimulus/id1501107371"><strong> iTunes</strong></a></li> <li style="font-weight: 400;" aria-level="1"><a href= "https://open.spotify.com/show/0w6oFNiT8P1kPWyivim0G0"><strong>Spotify</strong></a></li> <li style="font-weight: 400;" aria-level="1"><a href= "https://www.stitcher.com/podcast/stimulus"><strong>Stitcher</strong></a></li> </ul> <p> </p> <p><strong>Guests:</strong><span style= "font-weight: 400;"> </span> <span style= "font-weight: 400;">Cam Berg MD, Neda Frayha MD, Scott Weingart MD, Josh Russell MD, Haney Mallemat MD, Alan Sielaff MD, Vicky Vella MD, and Mike Weinstock MD</span></p> <p> </p> <p><span style="font-weight: 400;"> </span><strong>We Discuss:</strong></p> <ul> <li><strong>The importance of figuring out the core principles that drive your medical decision-making [1:30];</strong></li> <li><strong>Primum non nocere, and how it is good for patients and good for us [02:40];</strong></li> <li><strong>Cameron Berg is concerned about the harm caused by excessive prescription of opiates in the ED [05:10];   </strong></li> <li><strong>Neda Frayha learned that ordering more tests on patients can cause more harm than good [07:25];</strong><span style="font-weight: 400;">. </span></li> <li><strong>Scott Weingart applies the “do no harm” principle to the use of IV fluids when resuscitating patients in septic shock [09:20];</strong></li> <li><strong>Josh Russell tries to limit harm by thinking about what he’d wa