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Dan Milyavsky's avatar

Discharging a patient with that set of vital signs and confusion (apparently severe enough that he was refusing medical care and needed to be restrained to have the nasal swab) is definitely negligent. This patient definitely needed to be referred to the ER, preferably via ambulance. A sepsis alert with an initial dose of Ceftriaxone would have helped this man tremendously.

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PDX's avatar

Terrible case.

A previously healthy 48 old year man that is no longer able to get to into a wheelchair without help is absolutely not fit for discharge regardless of what the diagnosis would be. If the UC really was closing soon, I can see how the PA may be mis-incentivized to downplay the diagnosis rather than stay late waiting for EMS to be dispatched to take the patient to a real ED.

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