Washington Man Dies After Paramedics Diagnose Acid Reflux

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Posted by Jonathan NaceDecember 04, 2008 6:16 PM

A 39 year old man collapsed and died in his home after paramedics responded to a 911 call and told him he had acid reflux disease.

Edward Givens died only six hours after his family had called the paramedics who told him he had acid reflux disease and should take pepto bismol. Paramedics in DC are required by protocol to transport any patient by ambulance to a hospital if the patient asks to go to the hospital said Alan Etter, a spokesman for D.C. Fire and Emergency Medical Services.

Lolitha Givens said the firefighters asked her son what was wrong, and the emergency medical technicians who arrived by ambulance checked his vital signs and performed an electrocardiogram, the results of which they said were normal.

The EMTs asked Givens whether he had eaten or had anything to drink that evening, and he said he had eaten a burger, Givens said. They told him and his mother that he probably was suffering from acid reflux and suggested he take antacid.

"Six hours later, my son was on the floor, dead," Lolitha Givens said.

This is not the first time DC Emergency Medical Staff has come under fire recently, as Cassandra Bailey died in 2006 from cardiac arrest when an ambulance took more than 90 minutes to arrive after being telephoned several times.

In January of 2006, former New York Times journalist David Rosenbaum was beaten severely in a street robbery, but emergency personnel labeled him drunk and considered him a low priority. He died two days later.

Unfortunately for all these people including the Givens' family, suing the District of Columbia can be a tricky process because of a powerful defense known as "the public duty doctrine." State officers, when acting in their state roles, are often considered immune for negligent acts. While the facts of this case may ultimately bypass that defense for the Givens' family, it presents a significant legal hurdle, if they choose to seek compensation.

Edward Givens was the father of two and worked as a counselor to youths who had been victims of domestic violence. He coached Little League baseball, youth football, and basketball as well.

9 Comments

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mikey
Posted by mikey
December 05, 2008 5:08 PM

Man thats to bad. However I think the EMT's did the right thing. They did do a EKG because heart attacks can hide themselves like acid reflux. But not knowing the whole story as did the EMT's ask if he had pain in his arm? felt chest pains? and did the man ask to go to the hospital? Anyway tough call on the EMT', but it was a judgement call.

mikey
Posted by mikey
December 05, 2008 5:09 PM

Man thats to bad. However I think the EMT's did the right thing. They did do a EKG because heart attacks can hide themselves like acid reflux. But not knowing the whole story, as did the EMT's ask if he had pain in his arm? felt chest pains? and did the man ask to go to the hospital? Anyway it was a judgement call on the EMT's part.

anon
Posted by anon
December 05, 2008 9:53 PM

please. an EMT has limited medical training and their job is to transport someone to a hospital, where this guy would have had blood tests that diagnose an MI. their job is NOT to diagnose anything, NOT to make these kinds of judgements, and as what they apparently did is so far outside of the scope of their job, they should be held responsible for this. that goes for a medic too. they can only not take a patient to a hospital if the patient refuses and signs a waiver. if they manipulated this guy into that, then shame on them.

Patrick
Posted by Patrick
December 05, 2008 10:02 PM

The EMT's were way out of line. Their job is to stabilize and transport, NOT to make medical diagnoses. Angina (heart pain) is notoriously difficult to diagnose and frequently masquerades other conditions. The fact that they did an EKG (which they were also unqualified to read) in no way excuses their negligence.

Rob
Posted by Rob
December 06, 2008 10:17 AM

Typical chest Pain of a MI: Crushing, radiation to arm or jaw, and lasting longer than 20 minutes. But over 70% of the time, its not so typical.

I once had a patient come in to the ER with chest "discomfort" where he felt episodic stabbing pains for 10 seconds followed by 30 minutes relief. No radiation. EKG was squeaky clean, no STs, no Q's, no inverted T's. Nada. Ran blood tests and his tropinins were boderline. We didn't risk it and sent him to Cath. lab.

Turned out he had a massive inferior MI and after 2 stents he was fully recovered. Dr's make these judgment calls, not EMTs. I really don't know all the facts but that person should of at least been sent to the hospital. EMTs do not make the judgment calls for something as serious as chest pains, they should of known better.

joe paramedic
Posted by joe paramedic
December 06, 2008 8:01 PM

As a paramedic we had a very simular situation patient refused transport we insisted massive inferior MI was the come out these things often happen on the Job we have one way and that's "you called as YOU

Dave
Posted by Dave
December 07, 2008 10:43 PM

As medic's we are told that we can not, and should not diagnose anything. YET one the first thing that we are asked by Doctors on the phone, is to read off a EKG and tell them if it will be a Cath activation. What in the hell is that? Or does this seem more like the Flu or something else ? And you'll love this one " Do you think I need to go to the Hospital ? " We can only tell you what we see, at that time. We can't tell any of you if your going to die in the next 5 min or hour. I know you'd love that , but we can't !!, NOT EVEN YOUR DOCTOR CAN !!! All of you people who are saying what you think our jobs intell, really need to walk a MILE in our shoes. We as Paramedics are trained to read and interpet EKG's, V/S,Pt's Hx . We don't just climb into the back of the unit's and give rides local ED, if so many of you could do what we do. If it was just that easy, why didn't you jump in your car and drive youself and or loved one to the Hosp ? Our jobs are hard enough as it is, without a bunch of upset, limited knowlegde having, out for blood, people giving there two cents, about something they have limited info on. At least know what your talking about !!!!!! I'm not saying that the medics were right ,in what they did, but there's more to this story, belive that.

Jonathan Nace
Posted by Jonathan Nace
December 08, 2008 4:22 PM

Dave:

I'm not sure if you believe I'm one of those "out for blood," but it couldn't be further from the truth. In fact, I am all ears as to what there is that is "more to this story."

You are absolutely right though that paramedics/EMT's have a difficult job. Of course, they agree to accept the difficulties of it and are expected to act with a certain standard of competence. No one is saying they must be perfect.

The information available now seems to be that the deceased and his family wanted to be taken to the hospital, but the paramedics over-stepped their qualifications, actually (mis)diagnosed him, and told him to stay home and use over-the-counter therapy. If this is indeed the truth, then the paramedics made a giant mistake in this situation by even attempting a diagnosis - one they are not competent to make.

No one is out for blood. People do want some justice though. And while other facts may certainly come forth, none have to date. And we work with the facts available to us.

SafeTee  Paramedic
Posted by SafeTee Paramedic
December 09, 2008 7:55 PM

Protocol was not followed.If chest wall pain is present and I feel it is not cardiac related, if in doubt transport. Worse case the patient took ambulance ride for nothing.Blood work or the cath. lab are the only true indicators for cardiac events. EKG interpetation is just that and interpetation of the person reading it, all EKG's are not textbook according to interpetation rules per rhythm.

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