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Did I kill this patient / did I do something wrong watch
- Community Assistant
- 25-03-2016 20:42
- 25-03-2016 22:24
There's nothing very controversial about the facts as they have been presented here. It sounds as if a very sick patient was brought into resus and died while undergoing active treatment aimed at his resuscitation. This happens once or twice a day in most EDs. The OP is understandably shaken - perhaps this was the first person that he/she has seen die - but certainly didn't contribute to the death in any way.
Okay, so a catheter isn't high priority in the peri-arrest setting. It sounds as if other treatments (15l O2) were ongoing and perhaps this was started while waiting for ITU and/or a decision about appropriateness for invasive ventilation. It wasn't necessarily wrong to insert a catheter by any means - if he had survived much longer then it would have been necessary for urine output monitoring. Without being there, it's pretty bold for anyone to say that the catheter was inappropriate.
OP - you didn't do anything wrong and there aren't many clinical lessons to be learned from this case. It may however be useful in helping you to come to terms with some of the things you will encounter when working - there are many more "shock moments" to come.