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Sat Mar 3 21:04:40 GMT 2007

In a message dated 3/3/2007 3:00:02 PM Central Standard Time,  
KMATTOX at aol.com writes:

I would  totally AGREE that it is NOT the place of EMS to stay with this   
patient.   BUT two hours is too long for a potential  appendicitis to  be out 
in 
the waiting room

I generally agree..especially in a female who could easily have something  
much more dramatic. My point was that if she was not immediately taken to  
surgery (and I have seen even good surgeons wait hours to lap scope a low risk  
patient), then the statement that this was a sentinel event is less  supportable. 
If the ED delay was a sentinel event, but the patient was  not operated on 
for several hours after the ED doc made the diagnosis, then the  surgeon and OR 
team should be reported for delay of care as well.

ck
Charles S. Krin, DO FAAFP
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