Published: 7 Jun 12 08:24 CET | Print version
Online: http://www.thelocal.se/41286/20120607/
A doctor who told the wife of an 87-year-old man who had no pulse to "go home and call emergency services" has no explanation for why he refused to help, despite his clinic being a mere 50 metres from the home of the man, who subsequently died.
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why should a doctor be inconvenienced outside a fixed appointment when there is a govt. dept.to deal with such things.
Disgusting but not surprising to me :-( I hope the law of karma gets that doctor
That said, resuscitating a patient is a very specialized skill. I am certain that a doctor working in a clinic does not have those skills. (and no, taking a BLS/ACLS class does not make a person an expert in resuscitation.) In addition, he would not have the most basic tools available to him to resuscitate a patient except to initiate BLS. I would dare to say that emergency services personnel who routinely resuscitate patients in the field are more skilled at the art of resuscitation than most physicians. It is a skill that they practice routinely. He should have called emergency services himself and then gone over to help in any way possible. That would have been the human thing to do.
@bourgeoisieboheme
The Hippocratic Oath. Have you read it? Are you aware that it says many things including, quite clearly, that a doctor should never perform an abortion as it is taking a life? The original oath also says that doctors should not perform surgery and that it should be left to people more skilled with a knife. And, nowhere in the Hippocratic Oath does it say the most frequently quoted line, "First, do no harm." Not there anywhere. And, while it is a wonderful historical document, it carries no legal weight. No one has ever been fired for violating the Hippocratic Oath.
I think only 7% of the people in sweden survive a heart attack, because ambulances here just take way too long to get to the patient. In Las Vegas casinos survival rate is 75%, because personnel have basic CPR. Given this, medical people in a health center should know basic CPR and have a portable defibrillator on premises. The odds would still have been better than waiting for the ambulance.
Second, is it my imagination or is someone waiting for a higher critical mass of derogatory reports about the medical profession before acting?
Third, let's try a different tact. Since the government appears interested in increasing tourism, how about improving the health care system to assure tourists that they will be safe in the event of an emergency while on vacation?
Please, I did not mean to defend this doctor in any way. At the very very least he should have attempted to help in any way possible. His actions - or lack thereof - are indefensible.
In reality, the man was already dead when he was discovered by his wife. But, for the sake of argument, let's suppose that his heart stopped as his wife was walking in the door. It probably took her at least a minute to discover her pulseless husband and assess the situation. How long then would it have taken an octogenarian to walk the 50 meters to the clinic, and once in the clinic get the attention of a physician? How long then would it have taken the doctor to collect the necessary equipment and find his way back to the house? An 87 year-old man does not survive several minutes without a pulse and without oxygen. Whether it was a heart attack or stroke or whatever, our patient suffered a mortal injury.
A person survives a cardiac arrest in Las Vegas because the event occurs in a public area. The arrest is witnessed and CPR is started immediately. Survival is directly related to the time interval between the arrest and the start of CPR. You are absolutely correct that CPR is critical. Unfortunately, our patient never had a chance.
This is all that you can expect in a secular society. The chickens are coming home to roost, so the saying goes.
I agree with your analysis, I didn't mean to imply that if the doctor had acted, the old man could have been saved. We don't know how long he's been in that state before he was even discovered, we don't even know if it was a heart attack. But it's just about the principle. The sad fact is that waiting for an ambulance is basically not a great choice, because they take so long. However, anybody having an attack near a health center could improve their chances, if the doctors just would act quickly. As to picking up a CPR unit and emergency kit, it should be a matter of 10 seconds, near the entrance as you walk out.
The business of selling CPR units is sure picking up, we just get some now for our workplace, because it just takes too long for anybody to show up.
if the poor old gubbe had been resuscitated he would be brain damaged definitely and most probably was long gone when found, the doctor should have gone along and had a look at least and to confirm the worst and give a bit of moral support for a few minutes at least.
maybe the doctor Knew he could do nothing ...so he did that!
Do you have a source for "only 7% of the people in sweden survive a heart attack"? This seems extremely low to me and a cursory Google search was unhelpful in verifying this stat.
Thank you.
lol - I take it you are not a statistician if you believe that 93% of heart attack patients die in Sweden - in fact you are better off in Sweden than Las Vegas
The only stat I could find so far suggests that you are reversing survival and mortality rates. There is a 7% chance that someone hospitalized for cardiac arrest in Sweden will *die* during hospitalization. That's a 7% mortality rate which equals a 93% survival rate... NOT the 7% survival rate you cite.
Sourced from an article discussing a study on Swedish cardiac care, published in April 2011 in the Journal of the American Medical Association: http://m.npr.org/news/front/135745101?singlePage=true
"Here are the Swedish results, which span a period from 1996 and 2007:
Deaths during hospitalization after a heart attack went down from 13 percent to 7 percent.
Deaths in the 30 days following a heart attack decreased from 15 percent to 9 percent.
One-year mortality post-heart attack dropped from 21 percent to 13 percent."