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Death after two-hour ER wait ruled homicide



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No. 10
from charebec65
Old Sep 16, 2006, 03:51 PM

Default Re: Death after two-hour ER wait ruled homicide
I can't help but wonder if there's not more than meets the eye here. I can't imagine an ER nurse ignoring MI sx. Maybe the initial stated sx were different. I'm a cardiac pt. I often have chest pain and have certain criteria to follow as to whether or not go to the ER. The two times I went to the ER with unremitting chest pain and other sx associated with MI I was immediately taken back and assessed.....
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No. 11
from ERNP
Old Sep 16, 2006, 03:55 PM

Default Re: Death after two-hour ER wait ruled homicide
It seems to me that the legislature, not the coroner, should undertake to redefine homicide. I don't think this rises to homicide. Maybe involuntary manslaughter if there is to be any criminal pursuit at all.

Definitely civil legal country.... failure to rescue, violation of nationally accepted standard of care....

But do remember to view everything you read with a degree of scrutiny. The news blurbs are very small snipets designed to incite the reader. Therefore, we have not even a small portion of facts surrounding this event.
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No. 12
from rjflyn
Old Sep 16, 2006, 04:05 PM

Default Re: Death after two-hour ER wait ruled homicide
The coroners jury didnt have many options if you read their form, it is linked to in the CNN story. I personally could only speculate what would lead lay people to that decision.

Rj

Originally Posted by ERNP
It seems to me that the legislature, not the coroner, should undertake to redefine homicide. I don't think this rises to homicide. Maybe involuntary manslaughter if there is to be any criminal pursuit at all.

Definitely civil legal country.... failure to rescue, violation of nationally accepted standard of care....

But do remember to view everything you read with a degree of scrutiny. The news blurbs are very small snipets designed to incite the reader. Therefore, we have not even a small portion of facts surrounding this event.
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No. 13
from P_RN
Old Sep 16, 2006, 04:06 PM

Default Re: Death after two-hour ER wait ruled homicide
I noticed the other day an ER called "Chest Pain ER." I have no idea if this is an improvement as I was just passing by on my way to visit the doctor.
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No. 14
from leslie :-D
Old Sep 16, 2006, 04:18 PM

Default Re: Death after two-hour ER wait ruled homicide
Originally Posted by ERNP
It seems to me that the legislature, not the coroner, should undertake to redefine homicide. I don't think this rises to homicide. Maybe involuntary manslaughter if there is to be any criminal pursuit at all.

Definitely civil legal country.... failure to rescue, violation of nationally accepted standard of care....

But do remember to view everything you read with a degree of scrutiny. The news blurbs are very small snipets designed to incite the reader. Therefore, we have not even a small portion of facts surrounding this event.
i agree with you.
but any medical person would be flabbergasted to read this at face value.
no, we don't know all the facts.
i do know that when i was 35 and had chest pain after being put on the birth control pill (combined w/me being a smoker), the er triage nurse whisked me away and i was tended to immediately.
this has always been the standard of care.
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No. 15
Old Sep 16, 2006, 04:33 PM

Default Re: Death after two-hour ER wait ruled homicide
Did this facility assign a competent triage nurse with no assigned patients?

Years ago in a large ER a clerk did triage. The patient had fallen sp was sent to trauma. I was asked to take the patient to have an X-ray to R/O rib Fx.
The patient had chest pain and SOB I took the patient to medical. The patient was admitted to CCU.
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No. 16
Old Sep 16, 2006, 05:02 PM

Default Re: Death after two-hour ER wait ruled homicide
I dont know about years ago Spacenurse, but I do know that the triage system is in effect not just for disaster situations, but also everyday situations. I agree with Earle58, we do not know all the facts. It is shocking to say the least to read about this, and that is the way I felt. Chest pain ios up there in the "emergent" catogory of the traige system. There are alot of questions going through my mind.
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No. 17
from VickyRN
Old Sep 16, 2006, 05:29 PM

Default Re: Death after two-hour ER wait ruled homicide
Originally Posted by charebec65
I can't help but wonder if there's not more than meets the eye here. I can't imagine an ER nurse ignoring MI sx. Maybe the initial stated sx were different. I'm a cardiac pt. I often have chest pain and have certain criteria to follow as to whether or not go to the ER. The two times I went to the ER with unremitting chest pain and other sx associated with MI I was immediately taken back and assessed.....
Recently had cardiac patient present to ER with complaints of "leg pain." That was it. Also he stated, "I have a history of congestive heart failure." It was only after close questioning by one of the nurses that he admitted, "Oh, I'm having chest pain, too, right now, and shortness of breath." Immediately, he was bumped up in priority and we started working on him. If we had been super busy at that time, this might have been missed.
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No. 18
Old Sep 16, 2006, 05:54 PM

Default Re: Death after two-hour ER wait ruled homicide
Yes. One other classic s/s of the MI patient is denial and sometimes their rationale for that CP is very convincing.

I'm also assuming that this patient didn't call 911.
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No. 19
Old Sep 16, 2006, 06:35 PM

Default Re: Death after two-hour ER wait ruled homicide
Yes Angie, you are right about that. I had a patient present one time with a waxy, ashen look. He told me "oh Im just tired", his wife told me he had a previous heart attack. Had another patient 32 years old "I dont feel well", after questioning him there was significant cardiac hx.( father and 2 uncles). He was admitted with a minor M.I. I dont know what the answer is.
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