Emergency Medicine Cases

BCE 63 Failing Up after Medical Error

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Oct 31, 2017
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ANECDOTE

The Wrench Case

  • Dr. Gray recounts a harrowing case of a young trauma patient in a halo vest.
  • A series of unfortunate events, including a missing wrench and a dislodged tracheostomy tube, led to the patient's death.
INSIGHT

Impact of Medical Errors

  • Medical errors can cause significant emotional distress, including PTSD and insomnia.
  • Sharing these experiences can help alleviate feelings of isolation and prevent future errors.
ADVICE

Sharing and Learning

  • Talk about difficult cases with colleagues to reduce isolation and promote healing.
  • Teaching about these cases can help prevent similar errors in the future.
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