I saw a child patient who is 3-year-and-6-month-old boy with cough, fever of 38.5
formal readings by radiologist said it is 'within normal limit'
And mycoplamsa antibody was negative. WBC normal.
CK was high with the value of 682. nothing else.
The patient went home with conservative medication
But I was suspicious about GGO of left upper lung fields and clinically was not able to rule out pneumonia.
What do you think about it?
https://n.news.naver.com/article/422/0000862039
Should the patient who was dunken have taken diffusion MR?
Korean national insurance covers diffusion MR of all pateints having dizziness if only proven to have ischemic infarction on the MR image. (If not, insurance doensn't cover the test)
So all dizziness patients is recommended to take MRI for safety. But same practice in alcohol-intoxicated patient?..
Korean ER will now turn into heavens of alcoholics.. And ER doctors in korean would take MR of all drunken & dizzy patient. Is it right?..
“Doctors held responsible for neglecting emergency patient treatment resulting in permanent disability… suspended prison sentences handed down.”
Doctors who were put on trial for allegedly neglecting the treatment of a patient brought to the emergency room, resulting in permanent injury, have received suspended prison sentences.
According to the legal community on the 6th, Judge Kang Tae-gyu of the Criminal Division 3 at the Cheonan Branch of the Daejeon District Court sentenced A (46) and B (37), who were indicted on charges including occupational negligence causing injury, to 10 months in prison suspended for 2 years and 8 months in prison suspended for 2 years, respectively.
The two doctors, who worked in the emergency room of a university hospital, were accused of neglecting the treatment of a patient who was brought in on June 1, 2018, while intoxicated and showing symptoms of cerebral infarction such as abdominal pain, vomiting, and impaired consciousness. They allegedly discharged the patient, resulting in permanent disabilities including partial paralysis.
According to the standard medical treatment procedures of the Korean Medical Association’s Medical Appraisal Board, when an intoxicated patient arrives at the emergency room with symptoms of cerebral infarction, doctors should first conduct a basic neurological examination, including checking consciousness and limb strength, and then determine whether brain CT or MRI scans are necessary.
Because brain CT scans may fail to detect cerebral infarction for up to 24 hours after onset, patients should not be discharged immediately and instead should be kept under observation.
However, A, a fourth-year emergency medicine resident, performed only a brain CT scan without conducting neurological tests, despite the patient continuing to vomit and complain of dizziness.
A then handed the patient over to B, a first-year resident, without explaining why neurological tests had not been performed.
B, who only visually monitored the patient without conducting additional tests, discharged the patient about three hours after the patient had arrived at the emergency room.
The court stated, “A serious outcome of permanent disability resulted from professional negligence, making it necessary to impose significant responsibility.” However, it added that “the defendants do not appear to have intentionally abandoned the patient, and the issue seems to have arisen partly due to inadequate communication in the fast-paced emergency room environment,” explaining the reasoning behind the sentences.
