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Death after two-hour ER wait ruled homicide



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No. 190
Old Nov 05, 2006, 08:58 PM

Listen Re: Death after two-hour ER wait ruled homicide
Originally Posted by EDValerieRN
http://www.cnn.com/2006/US/09/15/er.....ap/index.html

Death after two-hour ER wait ruled homicide

"WAUKEGAN, Illinois (AP) -- A coroner's jury has declared the death of a heart attack victim who spent almost two hours in a hospital waiting room to be a homicide.
Beatrice Vance, 49, died of a heart attack, but the jury at a coroner's inquest ruled Thursday that her death also was "a result of gross deviations from the standard of care that a reasonable person would have exercised in this situation."

Vance had waited almost two hours for a doctor to see her after complaining of classic heart attack symptoms -- nausea, shortness of breath and chest pains, Deputy Coroner Robert Barrett testified.

She was seen by a triage nurse about 15 minutes after she arrived, and the nurse classified her condition as "semi-emergent," Barrett said. He said Vance's daughter twice asked nurses after that when her mother would see a doctor.
When her name was finally called, a nurse found Vance slumped unconscious in a waiting room chair without a pulse. Barrett said. She was pronounced dead shortly afterward."
What a shame for someone to die after reporting those symptoms, and to be neglected by ED staff. That is a major lawsuit due to negligence on the
the part of the nurse and doctor if he/she was aware. I don't know how you could assess that patient properly without an EKG.I work on a telemetry surgical stepdown, that pt should have had a complete workup immediately.
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No. 191
from PANurseRN1
Old Nov 05, 2006, 09:45 PM

Default Re: Death after two-hour ER wait ruled homicide
You work in a unit that has some degree of control. Triage in a busy ED can be chaos. Unless you have actually worked triage in an ED, you really should not be so quick to judge.
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No. 192
from Overland1
Old Nov 07, 2006, 07:36 AM

Listen Re: Death after two-hour ER wait ruled homicide
After so many interesting posts in this thread, I see a common point, and it is not that we need to throw more more nurses and doctors at the problem. People are misusing the ER and EMS system more than ever before, even in cases where there is a convenient/prompt/urgent care center nearby that could better address their needs. Between that and the (mostly college age) drunks who are brought in to occupy several ER beds at a time during any given weekend, the ER's are running out of places to put patients. Don't even get me started on the ones who come in and want "Dilaudid, 2 mg every hour" - yup, they state the demand just that way, and then say they are "allergic" to virtually all of the non-narcotic analgesics.

Just the other day, my former neighbor called for EMS to take her husband to the ER for a sore throat. She also told those who responded on past calls to their apartment that she "pulls the cord in the bathroom so that they will get there quicker." She could have just as easily taken him to a CCC and had a doctor look at his throat. This sort of stuff happens all the time everywhere, and I doubt that people will ever learn otherwise.

The national average waiting time is probably still around eight hours, although we run considerably less than that where I work. Some people often complain loudly if they have to wait more than ten minutes - they yell and scream, feign serious illness, lie down on the floor of the waiting room, drop names of people they actually believe will help them to be moved to the top of the list, etc., thinking that these (mis)behaviors will get them "seen quicker".
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No. 193
Old Nov 07, 2006, 09:01 AM

Default Re: Death after two-hour ER wait ruled homicide
Exactly! I thought almost every ED had protocols and standing orders. Chest pain being one of them. This lady fit the classic criteria! Another thing I am wondering, maybe this sounds stupid...but, I wonder what her daughter was doing when her mother was "slumped over" in a chair as the nurse found her?? That is horrible!
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No. 194
from PANurseRN1
Old Nov 07, 2006, 04:26 PM

Default Re: Death after two-hour ER wait ruled homicide
Originally Posted by makelsbelle
Exactly! I thought almost every ED had protocols and standing orders. Chest pain being one of them. This lady fit the classic criteria! Another thing I am wondering, maybe this sounds stupid...but, I wonder what her daughter was doing when her mother was "slumped over" in a chair as the nurse found her?? That is horrible!
Since you don't know all the circumstances, you should not be judging what happened.
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No. 195
from sadlady
Old Dec 18, 2006, 11:14 PM

Default Re: Death after two-hour ER wait ruled homicide
This is scary for us, the folks who are NOT in the medical feild, and have health problems. My ex is in Kenosha Wi. in a hospital there due to Anoxic Brain Injury Necrosis secondary to a massive MI. If the EMT's would have not taken 20 minutes lolly gagging around, he would be recovering, not laying brain dead from the lack of Oxygen. There are 3 hospitals in our city, and this one shall remain nameless, but I can say this-I go to a different one than my ex was taken to, and I myself have had the MI called acute coronary syndrome, and I was transferred to another hospital for my angio & stent procedure. When I first arrived at this hospital and walked into the ER myself, I told them I am here because I have ALL the signs and symptoms of a heart attack and need to be seen now. They escorted me back to a cardio room and BAM, monitors, auto BP cuff, o2 & o2 levels, IV and Blood drawn immediately. 15 min. later, I was told I'd suffered some damage to my heart and needed a angio...I live close to waukegan, but sure am glad I have a good hospital here !!! They say women do not get the same attention as men when they have symptoms of heart attacks- I say lets focus on educating women to the symptoms and make them their own advocates!
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No. 196
from ingelein
Old Dec 19, 2006, 09:50 PM

Default Re: Death after two-hour ER wait ruled homicide
Whoa, super bad judgement.
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No. 197
Old Dec 19, 2006, 11:43 PM

Default Re: Death after two-hour ER wait ruled homicide
One question as a newbie - What's a diversion?

And so far I've seen so many assumptions in these posts, things that weren't addressed in the original thing... Cheeseburgers and cigarettes... then talking about illegals.. then flaming new grads? Whew!
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No. 198
Old Dec 20, 2006, 08:04 AM

Default Re: Death after two-hour ER wait ruled homicide
Originally Posted by iceyspots View Post
One question as a newbie - What's a diversion?

And so far I've seen so many assumptions in these posts, things that weren't addressed in the original thing... Cheeseburgers and cigarettes... then talking about illegals.. then flaming new grads? Whew!
When the ER is so slammed they cannot take any more patients, the ER has to "divert" patients to other hospitals.

Management hates it when we have to do that because it decreases revenue.
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No. 199
from tddowney
Old Dec 20, 2006, 01:44 PM

Default Re: Death after two-hour ER wait ruled homicide
Originally Posted by ERTRAVELER View Post
The criminal issures here are all the sore throats and belly aches that take up precious time and rooms in the ER because that's where their FREE access card covers them 100% coverage. People who come in and demand we give them Tylenol because they can't "afford" to buy it, but they can afford that $5.00 pack of cigarettes in their pockets
Don't get me started.

Before moving to go to nursing school, I was an EMT in a small town with one ambulance (the next closest was 50 miles away).

I've seen too many people with $500/month cigarette and booze bills, or who have every game system out with all the latest games, but who "can't afford" health insurance.

They can, they choose not to. It's by no means limited to people who are actually poor.

They are also the likely ones to call 911 for a trivial complaint, attention seeking, or simply a free ride to the bigger town because they're drunk. Meanwhile, someone who is really experiencing an emergency has to wait an hour for another ambulance to transport them.

Until we get smart enough to penalize people who abuse the EMS system, this will continue to get worse.
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