In this confidential settlement, a 13-year-old girl was sent to the hospital after she was involved in an automobile accident. She underwent an abdominal CT scan with contrast, which revealed a lacerated spleen with free fluid. The girl was referred to as “Doe” in this case for the purpose of maintaining confidentiality. Doe was transferred to a local hospital. An emergency room physician there reviewed the CT images with the radiologist. A pediatric surgeon also saw the scans.
Doe’s vital signs continued to worsen, and she complained of abdominal pain. A nurse notified the on-call resident of the worsening condition. This doctor diagnosed fluid shifting and ordered IV fluid and morphine.
The next morning a trauma surgeon ordered emergency surgery. Doe suffered a heart attack and required resuscitation before the procedure, which revealed a necrotic bowel resulting from the seatbelt injury in the automobile crash. Doe was then transferred to the ICU where she suffered a heart attack and died. The cause of death was determined to be septic shock resulting from seatbelt-related intra-abdominal injuries. Continue reading