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Emergency Room Errors

Emergency Rooms, or ER's, at hospitals timely diagnosis and treatment,
all over the country are the most compartment syndrome can cause permanent
stressful worksites in the healthcare loss of use or function in the involved
profession. The standard of care in extremity (legs or arms). The clinical
United States hospitals is high quality. signs of compartment syndrome include
Doctors, nurses, surgeons, and all other pain out of proportion to the injury,
healthcare professionals take pride in pain on passive range of motion, and loss
this. However, the fact remains that of distal pulses. Immediate consultation
malpractice occurs in the medical with a surgeon is the preferred course of
profession and today's hospitals need to treatment.
improve the care provided in their Failing to treat a perirectal abscess in
Emergency Departments. a diabetic patient as an emergency.
Errors in hospital Emergency Rooms are a Patients who are diabetic present many
common occurrence infrequently talked unique challenges to their health care
about and rarely reported to the media. providers. A perirectal or perianal
That is why you don't hear about these abscess is a pool of pus that forms next
types of cases on the news. Understaffed to the anus, often causing considerable
hospitals, ill-equipped emergency rooms, tenderness and swelling in that area and
and poorly trained staff may lead to pain on sitting down and on defecating.
fatal errors when dealing with patients These abscesses or infections have a
requiring emergency treatment. Let's face tendency to rapidly progress to deeper,
it - when you arrive at your local more serious infections in diabetic
hospital ER you know absolutely nothing patients. The abscess can develop into
about who will be taking care of you and Fournier's gangrene, a life-threatening
there is no time to research the infections with a reported mortality rate
competency and track record of the ER of 9% - 43%. Again, prompt consultation
staff. with a surgeon is the preferred course of
There are many ways that errors or action.
malpractice may occur in Emergency Rooms. Failing to provide the proper airway for
The following is a partial list of some patients with facial or skull fractures.
of the Emergency Room medical negligence Establishing and securing an airway is
cases we have handled: one of the first steps addressed by all
- Medication Errors Emergency Departments. There are several
- Prescription Errors ways to accomplish this goal but the main
- Failing to diagnose impending heart techniques are tracheal intubation
attacks and strokes (either oral or nasal), bag and mask, or
- Diagnosis Errors a surgical procedure known as a
- Errors in interpreting x-rays, CT cricothyroidotomy. Emergency physicians
scans, and MRI studies should almost never attempt a nasal
- Discharging patients who are critically tracheal intubation in patients with
ill facial or skull fractures due to the
Over 225,000 people die from medical possibility of passing the tube into the
malpractice related injuries in a single cranial vault and thereby cause even more
year and nearly half of these deaths are serious injuries.
from emergency room errors. Failing to admit unstable patients or
The following is a partial list of the patients with unclear diagnoses to the
more common medical errors which arise in hospital. Remember, the Emergency Room
the Emergency Department: doctor's first responsibility is to
Failing to administer prophylactic stabilize the patient and then make
antibiotics in patients with open appropriate decisions about the patient's
fractures. An open fracture is one in continuing care needs. Most ER doctors do
which the bone has broken through the not have admitting privileges at the
skin, and as such, these fractures hospital - they must contact the
present an increased likelihood of patient's regular doctor or the hospital
infection. The best outcome for these admitting doctor for permission to admit
patients is dependent upon prevention of the patient directly from the ER into the
infection and obtaining a quick union of hospital. Almost everyone has a story
the fracture. Prophylactic antibiotics about a friend or family member who was
reduce the risk of infection and should discharged from the Emergency Room
be given as soon as possible. returned to their home and within hours
Failing to diagnose compartment syndrome or a couple of days suffered a disastrous
in patients with tibial fractures. The outcome. Make sure your friend or family
tibia is the larger of the two bones of member is stable, and with a plan of
the lower leg and is the weight-bearing treatment, before discharge from the ER.
bone of the shin. A compartment syndrome If you or anyone you know has experienced
is a serious complication which occurs an emergency room error, or any other
when the pressure in a closed fascial kind of medical malpractice, please
compartment rises sufficiently high to contact us. We are here to help.
cause nerve and tissue injuries. Without




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