Emergency Department Crowding and Loss of Medical Licensure: A New Risk of Patient Care in Hallways
General Material Designation
[Article]
First Statement of Responsibility
Derlet, Robert W; McNamara, Robert M; Kazzi, Amin Antoine; Richards, John R
SUMMARY OR ABSTRACT
Text of Note
We report the case of a 32-year-old male recently diagnosed with type 2 diabetes treated at an urban university emergency department (ED) crowded to 250% over capacity. His initial symptoms of shortness of breath and feeling ill for several days were evaluated with chest radiograph, electrocardiogram (EKG), and laboratory studies, which suggested mild diabetic ketoacidosis. His medical care in the ED was conducted in a crowded hallway. After correction of his metabolic abnormalities he felt improved and was discharged with arrangements made for outpatient follow-up. Two days later he returned in cardiac arrest, and resuscitation efforts failed. The autopsy was significant for multiple acute and chronic pulmonary emboli but no coronary artery disease. The hospital settled the case for
SET
Date of Publication
2014
Title
Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
Volume Number
15/2
PERSONAL NAME - PRIMARY RESPONSIBILITY
Entry Element
Derlet, Robert W; McNamara, Robert M; Kazzi, Amin Antoine; Richards, John R