0:04
so in Florida like all over the country
0:06
uh people come to the ER uh with a
0:09
problem and the ER doctors don’t quite
0:10
know what they’re going to get when you
0:11
walk in the door uh and often times it’s
0:14
a stroke and the doctors don’t realize
0:17
that you’ve actually got signs and SS of
0:19
a stroke or you’ve got abdominal pain or
0:21
upper abdominal pain but it’s really a
0:23
heart attack that’s evolving we see
0:26
those kinds of cases perhaps more than
0:28
any other cases where the doctor don’t
0:30
appreciate the urgency of the problem or
0:33
there’s a nurse who’s involved and the
0:35
doctor isn’t contacted or now we see
0:37
more than ever midlevel providers those
0:40
are the in between providers not quite a
0:42
doctor but more than a nurse who take on
0:44
more responsibility and aren’t able to
0:46
order the right test and make the right
0:48
diagnosis in the emergency room um
0:51
doctors take all comers and sometimes
0:53
folks come in with a fracture sometimes
0:55
it’s a complicated fracture sometimes
0:57
it’s a patient that has a small problem
1:00
and they decide to do a procedure in the
1:01
emergency room well emergency rooms
1:04
really aren’t equipped for major
1:07
procedures but sometimes ER doctors
1:09
don’t call in Specialists they don’t
1:11
have the right doctors come in and they
1:13
go above and beyond what they should be
1:15
doing in the capacity of emergency room
1:17
under those circumstances procedures
1:20
that shouldn’t be done in the ER are
1:22
done and oftentimes done incorrectly in
1:25
an emergency room patients come in and
1:27
often times require Urgent Care hair the
1:30
problem is ERS are busy and how quickly
1:33
are the doctors going to be able to
1:35
order the tests have the CT scans done
1:38
have the blood tests ordered where
1:40
important results are going to help
1:41
Drive treatment decisions when that
1:44
isn’t done timely treatment gets delayed
1:47
and when patients have urgent medical
1:49
problems delayed treatment can
1:50
oftentimes result in horrible outcomes
1:53
ER have a responsibility to treat
1:55
patients and often times that is with
1:57
medications and they have a
1:59
responsibility either on their own or to
2:01
call the pharmacy to make sure that the
2:02
right medications are ordered and the
2:04
right dosages are given but again busy
2:07
erss can oftentimes result in careless
2:10
mistakes are you given the right
2:12
medicine have you double-checked the
2:14
medicine have you given the right dosage
2:17
how are you giving an adult dosage to a
2:19
child those types of medication errors
2:22
can often have dire consequences to
2:24
patients we see in our cases handled in
2:26
Florida many different cases where
2:28
patients come into the emergency room
2:30
and are sent home now sometimes those
2:32
patients need to go home they don’t have
2:34
a serious medical problem they’ve had an
2:36
urgent need it’s treated and follow-up
2:38
care is appropriate in the office but
2:40
sometimes the patients need more care
2:42
they need more testing they need a
2:44
specialist to come into the emergency
2:45
room to evaluate them before they’re
2:47
clear to go home or they need to be
2:49
admitted but the ER doctors have a
2:52
responsibility and whether it’s an ER
2:54
doctor or a mid-level provider like a
2:56
physician assistant or a nurse
2:58
practitioner they need to f figure out
3:00
what’s wrong and patients that need to
3:02
be admitted need to be admitted but when
3:04
those patients are instead sent home and
3:07
patients have horrible outcomes at home
3:09
because they really needed Continued
3:11
Care that’s where we can step in and
3:13
help those families get answers and get
3:14
Justice