Research Data on Patients Intubated in the ED Flawed

From MedPage Today:

The follow-up disposition of many intubated emergency department patients listed in a large, national survey typically used for research was often at odds with their critical illness, raising questions about data quality, a researcher found.

Of visits that indicated intubation, 27% had dispositions that made it unlikely intubation had actually occurred, according to Steven Green, MD, of Loma Linda University Medical Center and Children’s Hospital in California.

That includes 9% in which patients were discharged home from the emergency department and 17% in which patients were admitted to a non-critical care unit, Green reported online in Annals of Emergency Medicine.

Video of ER doctor arrested while working

From CTV:

Disturbing security footage was released by the Lachute Hospital on Friday showing an ER doctor being violently arrested last February by two Surete du Quebec officers in front of his patients.

According to Doctor Jeffrey Sirzyk, the incident took place after investigators called the ER looking for information about the child. Citing privacy rules, the head nurse refused, only telling police that the child had been transferred at 4:45 p.m. to an acute care facility. The SQ was not pleased.

“I could hear someone scream in French, ‘I’m coming to arrest someone.’ The nurse hung up, I thought that was nuts and I just continued to work,” said Sirzyk.

Sure enough, two officers, Michel El Khoury and Simon Jette, arrived at the ER shortly after.

“He came to me and said, ‘You’re the doctor?’ I’m wearing my hospital uniform and it says urgentologist and I’m pointing to it,” described Sirzyk. “He grabbed me and says ‘You’re under arrest for delay of inquest,’ and grabs my left hand and starts pulling me as he turned away and told me we’re going to the police station.”

In grainy black-and-white video, the reflective tape of the SQ officers stands out as nurses in scrubs are seen trying to reason with the officers, without success. Sirzyk is seen being dragged and pushed against a wall in the bustling ER, as medical personnel look on in shock.