I found the defense's first expert's opinion the most disturbing part of the whole case. He wasn't hypotensive? Well he was, first of all, relative to the amount of pain he was in, but putting that aside, who the hell thinks in this day and age that you have to be hypotensive to be septic? Or you have to have a fever? Come on, my dude, do better.
It's also important to note that children become hypotensive from shock shortly before they enter cardiac arrest. They do not tolerate hypotension. Hypotension in a child should, in simplified terms, make you shit your pants unless the patient is anesthetized or sleeping and has normal peripheral perfusion.
Also there was no mechanism of injury! Doesn't recall the onset of pain! It didn't come up in the court case, but if I were the provider wrestling with the outcome of this case in the small hours, I would ask myself if I had paid too much heed to a CT report and not enough to the patient's words.
I found the defense's first expert's opinion the most disturbing part of the whole case. He wasn't hypotensive? Well he was, first of all, relative to the amount of pain he was in, but putting that aside, who the hell thinks in this day and age that you have to be hypotensive to be septic? Or you have to have a fever? Come on, my dude, do better.
It's also important to note that children become hypotensive from shock shortly before they enter cardiac arrest. They do not tolerate hypotension. Hypotension in a child should, in simplified terms, make you shit your pants unless the patient is anesthetized or sleeping and has normal peripheral perfusion.
Also there was no mechanism of injury! Doesn't recall the onset of pain! It didn't come up in the court case, but if I were the provider wrestling with the outcome of this case in the small hours, I would ask myself if I had paid too much heed to a CT report and not enough to the patient's words.