Sudnow - Dead on Arrival

Sudnow - Dead on Arrival

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时间:2019-08-01

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1、DeadonArrivalResuscitationefforts-andtheusesofacorpsemaydependonsocialfactors,notmedicaldiagnosisDAVIDSUDNOWInCountyHospital'semergencyward,themostfrequentbleisrequiredbylaw,whichinsists,primarilyforinsurancevarietyofdeathiswhatisknownasthe"DOA"type.Appurposes,thatanydiagnosisunlessmadebyacertifi

2、edphyproximately40suchcasesareprocessedthroughthisdisicianbesoqualified.)Theclerkrecordsthearrivalinavisionofthehospitaleachmonth.Thedesignation"DOA"logbookandpagesaphysician,informinghimincodeissomewhatambiguousinsofarasmanypersonsarenotofthearrival.Oftenapageisnotneeded,asphysiciansonphysiologi

3、callydeadonarrival,butarenonethelessclassidutyhearthesirenalarm,expectthearrival,andwaitatfiedashavingbeensuch.Apersonwhodieswithinseveraltheentranceway.Thepatientisrapidlywheeledtothehoursafterhavingbeenbroughttothehospitalmight,iffarendofthewardcorridorandintothenearestavailableuponarrivalhewas

4、initiallyannouncedbytheambulancefoyerorroom,supposedlyoutofsightofotherpatientsanddrivertobedead,retainsuchaclassificationatthetimehepossibleonlookersfromthewaitingroom.Thephysicianissopronouncedbythephysician.arrives,makeshisexamination,andpronouncesthepatientWhenanambulancedriversuspectsthatthe

5、personheisdeadornot.Ifthepatientisdead,anursephonesthecorocarryingisdead,hesignalstheemergencywardwithaner'soffice,whichislegallyresponsiblefortheremovalandspecialsirenalarmasheapproachestheentrancedriveway.investigationofallDOAcases.Ashewheelshisstretcherpasttheclerk'sdesk,herestatesNeithertheho

6、spitalnorthephysicianhasmedicalrehissuspicionwiththeremark,"possible,"ashorthandsponsibilityinsuchcases.Inmanyinstancesofcleardeath,referencefor"possibleDOA."(Theuseofthetermpossi-ambulancedriversusethehospitalasadepositorybecause36TRANS-ACTIONithastheadvantagesofbeingbothcloserandlessbureauelder

7、lypersonwhopresentedthesamephysicalsigns,withcraticallycomplicatedaplacethanthedowntowncoroner's-asonephysicianlaterstatedinconversation-nodisofficefordisposingofabody.Here,thehospitalstandsascernibledifferencesfromthe

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