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"Everyone knows that a patient with a heart rate higher than 90 should be admitted to the hospital."
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At what point after a lawsuit alleging ED malpractice is filed will a sued EP learn what the opposing experts say about the case? This depends on the legal strategy being used by the plaintiff's attorneys and state laws, says Jonnathan Busko, MD, an EP at Eastern Maine Medical Center in Bangor and medical director of Maine EMS Region IV.
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Ken Zafren, MD, FAAEM, FACEP, FAWM, EMS medical director for the state of Alaska and clinical associate professor in the Division of Emergency Medicine at Stanford (CA) University Medical Center, says that while much attention has been paid to the problem of plaintiff experts making false statements about ED care, he's also experienced defense experts making false statements.
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In the emergency department (ED), a central component of a physician's daily care and job performance is to administer or prescribe drugs.
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Delays for treatment for heart attack patients will continue to be a high-risk area for EDs legally, predicts Robert L. Norton, MD, a professor in the Department of Emergency Medicine at Oregon Health & Science University in Portland.
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A 12-year-old boy with an unremarkable familial and medical history presents with global aphasia and right hemiplegia 14 days after a streptococcal pharyngeal infection. A neurological examination performed three hours after symptom onset reveals a conjugate gaze deviation to the left, right hemiplegia, hemihypesthesia, and extensor plantar sign. The NIHSS score is 22. Laboratory examinations are normal. A cerebral CT shows a hyperdense left MCA and early signs of infarction in that area.
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Did an emergency physician write an order for a magnetic resonance imaging (MRI) scan, but one cannot be obtained because the machine is being serviced? If so, the chart should reflect that the ordering physician was advised of the delay.
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Emergency physicians (EPs) named in lawsuits likely won't be eager to answer detailed questions about their legal problems years down the road, but there are situations in which they'll need to do so.
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If an ED nurse is contacted by the state board of nursing about a medication error that harmed a patient, his or her first instinct might be to state, "I told them this would happen because we didn't have enough staff!"
