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Death after two-hour ER wait ruled homicide



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No. 70
from morte
Old Sep 20, 2006, 06:10 AM

Default Re: Death after two-hour ER wait ruled homicide
Originally Posted by MLOS
I found it interesting that on the preprinted juror's verdict worksheet the manner of death choices (with one circled) are "homicide", "suicide", "accident" and "undetermined". No "natural causes" or some other similar term is available as a choice.

Having never worked for a medical examiner or served on a jury for an inquest, I have no idea if this is typical.
i believe that "natural causes" would come under CAUSE of death, not MANNER of death.....
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No. 71
from tferdaise
Old Sep 20, 2006, 02:55 PM

Exclamation Re: Death after two-hour ER wait ruled homicide
It's been a while since I have posted here, been alittle busy. But this header got my attention.

A couple of things got me thinking.... (alittle background of me, I had worked in a level one trauma center for 5+ years as a ER tech, I am currently a LPN, working towards my RN)

Why do ED's hire new grads, with NO medical background? While working the ED I saw a couple of new grads being hired, and none has previous medical experience, the ED is not a place to get your feet wet when you are a true leve one, it can be a very overwhelming place. These new grads made mistakes which I thought they shouldn't have made.

I'm sorry to hear that who ever made that error well probablity lose t hier licesne over this. But in the ED, anyone who present with CP, should get a EKG in Triage... That is a standard of care...

Tony
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No. 72
from linda535
Old Sep 20, 2006, 02:58 PM

Default Re: Death after two-hour ER wait ruled homicide
Originally Posted by clee1
This is going to happen more and more in the coming years.... until the ptb and the medical establishment get the guts to say "No, Mr./Mrs. Whinybutt. Your sinus infection is NOT an emergency - call your PCP in the morning. Oh, you don't have a PCP? Find one.... in the morning. Good bye."

Also, the rash of Un/under-insured people using the ER as a PCP HAS to stop - like right now!

It is unconscionable that people with emergent conditions like MI, SOB, or even a serious lac requiring sutures have to wait for hours for treatment because our ER's are crammed full of the slightly sick, chronically lame, or the insufferably lazy. Oops! I almost forgot: the severe LBP x 3 months that HAS to have some IV narcs RIGHT NOW!

Gimme a break.
Don't forget the hospital ER's (here, anyway) HAVE to see welfare or indigent pts when they come in, regardless of their issue or their real need to be seen. I work in a (for-profit) urgent care clinic. We see everything from ST for a day to MI pts and I am the one who has to triage, ugh. If I see a pt who exhibits or c/o worrisome sx, I get an ECG right away. Even if the ECG is negative, I have the right (and responsibility) to pull my doc to see that pt immediately if the pt's sx, history or presentation is suspicious. I can only assume the triage nurse was busy with a GSW, other MI pts and numerous drug seekers that clog the ERs today.
BTW, my favorite pt - NOT - is the one who has discovered that c/o chest pain will get him to the back sooner... Ugh, save me from stupid people. Linda
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No. 73
Old Sep 20, 2006, 03:02 PM

Default Re: Death after two-hour ER wait ruled homicide
"Let he who has not sinned, cast the last stone"............
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No. 74
from Pilotboy
Old Sep 20, 2006, 03:31 PM

Default Re: Death after two-hour ER wait ruled homicide
This doesn't surprise me; you should see all the illegals using the ER as their doctors office. This takes time away from patients who have the right to be there in the first place.
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No. 75
from tferdaise
Old Sep 20, 2006, 03:37 PM

Default Re: Death after two-hour ER wait ruled homicide
Originally Posted by Pilotboy
This doesn't surprise me; you should see all the illegals using the ER as their doctors office. This takes time away from patients who have the right to be there in the first place.
Ouch.... everybody has the RIGHT to use the ED when they are sick. Now from what happened at the ED that night, the Triage Nurse did not do her job acording to the standard of care for someone who present with Chest Pain.

Tony
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No. 76
Old Sep 20, 2006, 04:42 PM

Default Re: Death after two-hour ER wait ruled homicide
I took my husband to the ER while he was having chest pain. I wanted to call an ambulance but he would not hear of it. When I got him to the ER window I told the person sitting there my husband was having a heart attack. As he walked from the desk toward the back he casually said I will be with you shortly. I am not a patient nurse! I went to the locked ER doors and started banging and screaming for help. That surely woke the place up. People came running, my husband was attended to and after suffering a massive heart attack, he survived. It is said when you have to demand health care in an emergency situation in an emergency room.
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No. 77
from Pat_Pat RN
Old Sep 20, 2006, 04:57 PM

Default Re: Death after two-hour ER wait ruled homicide
Originally Posted by tferdaise
Ouch.... everybody has the RIGHT to use the ED when they are sick.
Tony
If someone is in this country ILLEGALLY they don't have a RIGHT to ANYTHING.
(Perhaps we have a MORAL responsibility...)

Pat
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No. 78
from weirdRN
Old Sep 20, 2006, 05:58 PM

Default Re: Death after two-hour ER wait ruled homicide
Originally Posted by tferdaise
Ouch.... everybody has the RIGHT to use the ED when they are sick. Tony
I respectfully disagree.

The EMERGENCY room/department is supposed to be for Emergencies.

Emergency to me means that if you are not seen and treated you will die.

It does not mean that you are just sick or think you might be pregnant. You might consider reading a very informative thread by the ED Nurses that was posted here a while back. "rules for the ER' or something like that.
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No. 79
from MikeyBSN
Old Sep 20, 2006, 07:01 PM

Default Re: Death after two-hour ER wait ruled homicide
First of all, this was NOT a homicide; gross negligence at best. Although the situtation is disturbing, I work in a busy ER and I can see how it could happen. The triage nurse should have done a STAT portable EKG to monitor for ST elevations and T wave changes, and worked with the charge nurse to get the patient in the back. Sometimes, there really is nowhere to put people. When you have thirty people in the waiting room and fifty in the back with colds and no insurance, who you are legally obligated to see, you still can't just "kick" them out without screening and treating them.
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