Case 10: Expert Witness Opinion
An expert witness was hired by the plaintiff. His opinion is shown below. He is board certified in both Internal Medicine and Emergency Medicine, and is a supervising physician at an EM residency program. Do you agree with the opinion of the expert witness? Continue to the next page to see the outcome of the […]
Case 10: Lawsuit
The plaintiff’s family contacted a local attorney. A lawsuit was filed against both of the EM doctors, the hospital, and 2 EM groups involved with staffing the ED. The majority of medical malpractice lawsuits are handled in state courts. This lawsuit was filed in federal court, because the lawsuit alleged both EMTALA violations (federal jurisdiction) […]
Case 10: Bad Outcome
The patient was discharged from the ED. She had been in the ED for several hours overnight, and therefore her family members had gone home with the intention of picking her up once she was discharged. After being discharge, she was sitting in the lobby of the ED, waiting for a ride home. There were […]
Case 10: Disposition
The physician ordered a CBC, CMP, cardiac panel (CKMB and troponin), BNP, chest x-ray, and EKG. The labs relevant lab results are a glucose of 418, negative cardiac biomarkers, and a BNP of >5000. The EKG is shown below for MedMalReviewer subscribers. An x-ray was obtained. The actual images are almost never included in court […]
Case 10: Shortness of Breath
This case concerns a 33-year-old woman who presented to the ED with shortness of breath. She checked into the ED at 3:41am with respiratory symptoms. The patient had multiple visits to the ED and the staff knew her well. Triage vital signs were obtained: The patient gave a brief description of her symptoms to the […]
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1) A short description of your business, located at the very top of the first post of the case, highlighted in blue background, and a link to your website. AND 2) An in-text ad on every post of that month’s case. This month’s case is sponsored by DI4MDS.com. They provide disability insurance for physicians. Contact […]
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Case 9: Documentation
This case involves 2 different physician notes, and both will be evaluated. The Documentation Rubric will be used to assess both notes in the same standardized way. As we will see, one of the notes provides an excellent example of good documentation, but the second note is nearly useless. The Documentation Template was created for […]
Case 9: Review
This unfortunate case provides an excellent opportunity to review a few key issues related to bad patient outcomes. Any practicing emergency physician will immediately identify one critical issue with this patient’s care: the level of tachycardia at discharge. Stabilization of a patient’s vital signs is a critical part of emergency medical care, and this patient […]