Reference no: EM132453354
Case Scenario 1: EMERGENCY MEDICINE
A 4 1/2 month old boy was brought to the emergency room by his mother. His mother reported that he had a fever and poor appetite. She denied that he had vomiting or diarrhea.
The child was awake and quiet while nursing triage was performed. Triage vital signs were: 100.7 axillary temperature, 102.5 rectal temperature, 172 pulse, 60 respiration. Physical examination revealed an inguinal hernia. A two-minute attempt to reduce the hernia, made by the ER attending physician, was unsuccessful. A surgical consultation was requested. A flat plate of the abdomen was ordered.
A surgical resident examined the patient and also attempted to reduce the hernia. The shift ended. The surgical resident saw the infant once more. The infant was discharged by the original ER resident, on the instruction of the original ER attending physician. The abdominal flat plate was not accomplished prior to discharge.
The infant presented dead on arrival approximately 6 hours later at a different hospital emergency room in the area secondary to an incarcerated necrotic bowel with peritonitis.
Section A. Risk Identification
Identify the areas of risk that you discern from the scenario you chose. Be specific and cite your sources. 1 - 2 pages, APA format
Section B. Risk Analysis
Explain the legal ramifications of the event depicted in the scenario. Depending on your chosen scenario and the specific risks, this analysis may include determining whether a sentinel event report needs to be filed. 3 - 4 pages, APA format