Risk Management Pitfalls For Heat Illness

<< Heat Illness In The Emergency Department: Keeping Your Cool

Risk Management Pitfalls For Heat Illness

Risk management pitfalls for heat illness, including medico-legal advice for the "excuses" listed below, are discussed in this section:

  • "The patient did not respond to multiple doses of diazepam and he required general anesthesia and intubation."
  • “The patient came in febrile and altered, but now he is better. He can definitely go home.”
  • “Haloperidol, lorazepam, and cooling maneuvers could not reverse the heat stroke and heat-induced psychosis; I have no idea why the patient died.”
  • “The patient was given naloxone, and thereafter developed severe agitation. He must have been doing a speedball. Just keep giving him diazepam.”
  • “Please give the febrile marathoner with heat exhaustion 3 L of normal saline and then recheck his vital signs.”
  • “But I treat all my agitated patients with haloperidol.”
  • “The patient is altered because he is old, febrile and demented.”
  • “Please give that 98-year-old a quick 3 L of normal saline and when you are done, let me know.”
  • “Her legs were swollen so I prescribed furosemide. I had no idea she would get dehydrated after discharge, fall, and break her hip.”
  • “He looked great at discharge. I couldn't believe he died the next day at football practice.”

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