<<One might identify multiple problems:
1) An exhausted doctor
2) Poor command of English
3) Failure of TCN recruitment to pick up on important issues
4) Failure of proper induction (by 21st century standards) for
foreign doctor working first shift
5) Patient request for opiate medication (a guy in a medical family
requesting pethidine 100mg?!?!)
6) The presence of 100mg ampoules of Diamorphine>>
I agree.
<<However I do NOT buy into the public hysteria aggravated by his GP son
that manslaughter is necessarily (on the basis of information in the
public domain) an appropriate charge against the individual. >>
Same. I am sure many of us have seen patients slowly conking out from a
shot of opiate given with good intent---I am obsessive about carrying
Naloxone for good reason.
Pursuing Dr Ubani any further is pointless. He has to live with this for
the rest of his life. It sounds like lessons have been learnt from this
awful case and perhaps it will improve OOH care. Whether or not the
point will get across to the higher echelons that good care costs money,
is another thing.
Declan
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