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According to the accusing body, in the first case the death of Jorge Eduardo Rodríguez is investigated, who was admitted by his relatives and the Police on January 10, 2018 to the emergency room of a hospital in the Tolima capital, after presenting a acute and aggressive psychotic state.
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Days later, on January 13, the man fell while bathing and suffered an injury to one of his eyebrows, for which he required surgery. Three days later, he was assessed by the psychiatrist Suárez Díaz, who, given the lack of improvement in the patient, increased the dose of the drugs; But on January 18 the man was found without vital signs in his bed in the early morning hours.
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After the investigations, the Prosecutor’s Office determined that the dose ordered by the psychiatrist exceeded what is established in the medical guidelines, for which it is presumed that the death of Jorge Eduardo Rodríguez, due to respiratory arrest, would have been a consequence of the increase in said medicines.
During the accusation hearing, the prosecutor in charge of the case argued that the psychiatrist was not suitable in her evaluation with respect to the patient’s condition, she also pointed out that she apparently lacked meticulousness and diligence in the clinical evaluation, and therefore, for the accusing entity, an error that could have been avoided would have been made.
Subsequently, the anesthesiologist arranged for him to be transferred to the Intermediate Care Unit, where he was assessed by Leal, an intensivist doctor, who would be the specialist responsible for his postoperative care.
“During the night the patient complained of lack of sensation and motor skills in his legs, a situation reported by the nursing assistant to his boss, Rincón Díaz, who verbally ordered him to administer an oral anxiolytic, interpreting the complaint as a manifestation of anxiety. Order that apparently was issued without having performed a physical examination on the patient for such medication. And without the doctor having assessed it during his shift to rule out another cause, “the Prosecutor’s Office described.
The next day, on January 14, the patient was evaluated again and signs of neurological compromise were found, for which a neurosurgeon was called who ordered a CT scan that showed epidural bleeding.
For this reason, he was operated on in the emergency room and in the middle of the surgery a spinal epidural hematoma was detected that caused irreversible spinal cord damage that, in turn, generated quadriplegia in the patient, who continued to be hospitalized for about a month in intensive care with mechanical ventilation. But after complications derived from his neurological condition, he passed away.
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For the prosecutor in charge of the case, the care received by the patient was deficient, since the main objective of his hospitalization in the Intensive Care Unit was neurological follow-up, which would not have been provided either by the specialist or by the head of Nursing.
For example, in the clinical history it was evidenced that on the night shift of January 13 and the early morning of January 14, 2016 there was no journal record of the patient to determine their neurological condition.
For this reason, for the investigating body in the case there was a failure in the medical rigor on the part of both defendants since neither would have dedicated the necessary time to the patient for their adequate evaluation to achieve an accurate diagnosis.
None of the defendants accepted the charges. The next hearing will be an accusation.