Questions about a med legal case
From: GIN11153@aol.com
Fri Oct 17 02:23:15 2003
Need help on a case I'm helping a fellow legal nurse consultiant with.
Patient was 25 weeks-in a car accident with no apparent injuries(not checked
out at a hospital) Three hours later at home, membranes rupture. Goes to
hospital and is admitted. Given antibiotics for 7 days. Repeat c/section was done
on the 10th day for apparent chorioamnionitis(fluid was milky) Apparently only
2 CBCs were done in the 10 days. Her temps were under 99 until the 10th day
when it went up to 99.4 with a pulse of 134 and some contractions. CBC showed
WBCs were 21.0 so they started ampi and gent but monitoring showed fetal
tachycardia so they decided to do a repeat c/section that day(head was high). She
received 2 doses of betamethasone on days 1 and 2. Had fetal monitoring done
once a shift and intermittent BPP's. Baby died in the NICU 4 days later. Attorney
wants to prove that the seat belt injury caused the PPROM but we can't find
anything online to prove this, as most studies are about placental abruption
from the seat belt.
Any ideas to help us would be greatly appreciated.
Gail Neuman RNC CPHW LNC
certified high risk OB/legal consultant
listowner of LegalNurseConsulting@yahoogroups.com
Tustin, CA
