Chest Pain\Persistent for 10 Hours\Nitroglycerin\Difficult to Obtain\Chest Pain Resolved

Summary

Nitroglycerin was finally obtained after 10 hours of chest pain, after which the pain completely resolved.

Treatment Record

Outcome of Treatment

Within 1 minute after sublingual nitroglycerin, the chest pain disappeared.

Outcome Analysis

Did the doctor have any justification for blocking the patient from getting nitroglycerin? There were plenty of reasons.

For instance, the patient had come to the emergency department for intestinal bleeding, and the doctor had already given tranexamic acid to stop the bleeding. Nitroglycerin could potentially counteract the effect of tranexamic acid and cause the intestinal bleeding to start again.

Yet if the chest pain had continued any longer, this patient could well have lost his life.

Experience Discrepancy Index

Over-Treatment 1

Lack of Informed Consent 7

Outcome Misrepresentation 7

Financial Exploitation 2

Rehabilitation Neglect 5

Diagnostic Inaccuracy 5

Communication Breakdown 10

Procedural Complications 10

Lack of Accountability 7

Delayed Intervention 10

EDI 64

Audit Intervention

After 10 hours of chest pain the family could no longer bear it and reached out to this website. This website recommended nitroglycerin, after which the doctor showed various reactions. Under repeated suggestions from this website, the family eventually obtained the nitroglycerin. In reality, this website was engaging directly with the doctor.