Table 3 Patients with missed diagnoses at index episode
Patient gender and age | Diagnosis at re-presentation | Level of care at re-presentation | Time from discharge to re-presentation | Toxic agents at indexa | Treatment, disposition and observation time (hours:minutes) at index |
|---|---|---|---|---|---|
M 38 | Increasingly somnolent from same poisoning, probably also long-acting opioid, concomitant compartment syndrome | 4 days in medical department | 1 h | Heroin | Naloxone 1.6 mg by ambulance Discharged to addiction clinic 5:25 |
M 47 | Brought back for same poisoning | Outpatient at the OAEOC | 1 ½ hours | Ethanol | Self-discharged 0:45 |
F 21 | Brought back for same poisoning | Outpatient at the OAEOC | 3 h | Ethanol, fluoxetine | Self-discharged 1:00 |
M 14 | Increasingly somnolent from same poisoning | 2 days in pediatric department | 3 h | Heroin, benzodiazepines | Discharged to Child Welfare Services 2:10 |
F 40 | Psychosis | 7 days in psychiatric ward | Same day | Heroin, amphetamine | Discharged, no follow-up 8:15 |
M 34 | Psychosis | 4 days in psychiatric ward | Same day | Heroin | Referred to psychiatric outpatient clinic 5:40 |
F 28 | Concussion, sprained ankle | Outpatient at the OAEOC | Same day | Ethanol | Discharged, no follow-up 5:55 |
M 29 | Contusions | Outpatient at the OAEOC | Same day | Ethanol, amphetamine | Discharged, no follow-up 4:15 |
M 21 | Increasingly somnolent, possibly from same poisoning, if so also with sedatives | 1 day in medical department | Next dayb | Ethanol | Discharged to police custody 0:45 |
M 20 | Concussion, contusions | Outpatient at the OAEOC | Next day | Ethanol | Discharged to Emergency Social Services 4:10 |
F 49 | Haemorrhagic gastritis | 5 days in medical department | 2nd day | Ethanol | Referred to social services 10:35 |
M 46 | Non-dislocated fracture of zygomatic bone | Outpatient at the OAEOC | 3rd day | Ethanol | Discharged, no follow-up 6:05 |
M 44 | Fracture of elbow and wrist | 5 days in surgical department | 4th day | Ethanol, cannabis | Self-discharged 2:15 |