Hospital in Bangkok under fire as injured woman dies

[GTgrizzly]

they're all doing a lot of pointing in that photo,    wasn't me it was them ????

[wvavin]

If anyone still thinks that death sentence has to be abolished, think again!

[Suradit69]

13 hours ago, YetAnother said:

the patient incorrectly assumed her case was not an emergency and 'could wait'; she was not a professional and the nurses (note, not doctors) should have overridden her decision

That sounds like you're advocating that the hospital hold the woman against her will. If she was conscious, rational and an adult, she should have been advised that she needed immediate treatment, but I doubt the hospital could legally have  "overridden her decision." A hospital can't kidnap someone who may be doing something that they deem to be stupid.

 

Hard to make any definite decision regarding her understanding of her condition or of her mental state, but if she was insisting on going to another hospital it seems that was her choice.

 

If they had held her and forced unwanted treatment on her and she died, what would everyone say then?

 

 

 

 

 

Edited November 12, 2018 by Suradit69

[phetpeter]

I think there is a legal care of duty, once the injured party is in their care and has started the treatment, cleaning, and bandage. The patent has to sign a release, and the nurse cannot do that without a doctors clearance and not make a decision concerning say.."Acid in the face attack" or other physical attacks without contacting the police.

 

[Wake Up]

The first taxi driver saw the need to take her to the nearest hospital instead of the other hospital where she had a gold card. She must have been hurt badly and she should have been treated and stabilized at the first hospital. RIP and feel for the little girl. 

[atyclb]

8 hours ago, Jonmarleesco said:

19 hours ago, webfact said:

'... the woman’s symptoms were deemed as non-critical, as she was conscious and was able to answer questions and had level-1 chemical burns and normal blood pressure.'

Obviously that wasn't the case. 

 

 

even the best most highly trained and experienced cannot see the future thus make the assessment using the information at hand. likely an otherwise healthy young female with normal vital signs, no acute distress except for complaints related to the skin burns akin to first degree sunburn and apparently doused with water already without patient condition deteriorating. sounds like this would have been a "treat and release from er" case. again the patient has the absolute right to leave at any point whether seen by nurse and or doctor.  it would be extremely unusual for a 38 y/o with limited body surface acid burns doused with water already to die from same alone. did she breathe aerosolized acid?? she would have complained about pharyngeal pain, throat pain, shortness of breath.

 

the patients being worked up for life threatening problems (heart attack, stroke, blood clot) would receive the full lecture warning designed to scare them enough so they decide to stay, or if foolish enough still leave.

Edited November 12, 2018 by atyclb

[atyclb]

1 hour ago, Wake Up said:

The first taxi driver saw the need to take her to the nearest hospital instead of the other hospital where she had a gold card. She must have been hurt badly and she should have been treated and stabilized at the first hospital. RIP and feel for the little girl. 

 

here we have it, the tv forum panel chose the taxi driver as being most medically competent.

 

amazing thailand attracts amazing farangs

[atyclb]

2 hours ago, phetpeter said:

I think there is a legal care of duty, once the injured party is in their care and has started the treatment, cleaning, and bandage. The patent has to sign a release, and the nurse cannot do that without a doctors clearance and not make a decision concerning say.."Acid in the face attack" or other physical attacks without contacting the police.

 

 

in an ideal world they should all sign releases but in reality some just leave and cant be bothered signing anything as is noted on their chart.

[atyclb]

15 hours ago, chrisinth said:

She could also have lapsed into secondary shock, something that the hospital should/would have been aware of.

 

Often overlooked, secondary shock is a killer.

 

The above is only an opinion as all the facts aren't clear.

 

good thought but related to burn severity and involved body surface area %.  1st degree facial is low suspect.

 

this is a very interesting and unusual case. hope the path findings are made public.  anaphylaxis? airway distress and lungs clamping down?  blood vessel eroded?

 

no doubt the tv experts will solve it

Edited November 12, 2018 by atyclb

[atyclb]

11 hours ago, webfact said:

Hospital That Refused Acid-Burned Woman Denies It Was Emergency

By Asaree Thaitrakulpanich, Staff Reporter

 

Police in Nakhon Sawan arrest Kumtun Singnad, in blue tank top, Sunday.

 

BANGKOK — The husband accused of fatally attacking his wife with acid has been arrested, while the hospital under fire for refusing to treat her denies she was in an emergency condition when they turned her away.

 

Police arrested Kumtun Singnad on suspicion of murder Sunday night in Nakhon Sawan province, where he fled after allegedly killing his wife Chorlada Tarawan, 38, by splashing her face with acid.

 

Full story: http://www.khaosodenglish.com/news/crimecourtscalamity/crime-crime/2018/11/12/hospital-that-refused-acid-burned-woman-denies-it-was-emergency/

 

-- © Copyright Khaosod English 2018-11-12

 

the cop with the john lennon t shirt got my vote

[balo]

I can't see the hospital can be blamed here. She didn't die of the acid in her face , must have been something else . 

 

[chrisinth]

44 minutes ago, atyclb said:

 

good thought but related to burn severity and involved body surface area %.  1st degree facial is low suspect.

 

this is a very interesting and unusual case. hope the path findings are made public.  anaphylaxis? airway distress and lungs clamping down?  blood vessel eroded?

 

no doubt the tv experts will solve it

Its not so much the physical injury, or rather the physical appearance of the injury, but the chemical reaction to the body caused by the trauma. I'm certainly no expert on the subject but the extract below is a medical explanation of what can happen and where it is expected to be seen:

 

Secondary shock is often associated with heat stroke, crushing injuries, heart attack (myocardial infarction), poisoning, fulminating infections, burns, and other life-threatening conditions. 

 

The pathologic characteristics of this state reflect changes in the capillaries, which become dilated and engorged with blood. This may develop over time and is characterized by weakness, restlessness, low body temperature, low blood pressure, cold sweat, reduced urinary output and progressive decrease in blood pressure that may lead to death unless appropriate treatment is provided.

 

https://www.medicinenet.com/script/main/art.asp?articlekey=11224 

 

Edited November 12, 2018 by chrisinth

[atyclb]

39 minutes ago, chrisinth said:

1 hour ago, atyclb said:

 

good thought but related to burn severity and involved body surface area %.  1st degree facial is low suspect.

 

this is a very interesting and unusual case. hope the path findings are made public.  anaphylaxis? airway distress and lungs clamping down?  blood vessel eroded?

 

no doubt the tv experts will solve it

Its not so much the physical injury, or rather the physical appearance of the injury, but the chemical reaction to the body caused by the trauma. I'm certainly no expert on the subject but the extract below is a medical explanation of what can happen and where it is expected to be seen:

 

Secondary shock is often associated with heat stroke, crushing injuries, heart attack (myocardial infarction), poisoning, fulminating infections, burns, and other life-threatening conditions. 

 

The pathologic characteristics of this state reflect changes in the capillaries, which become dilated and engorged with blood. This may develop over time and is characterized by weakness, restlessness, low body temperature, low blood pressure, cold sweat, reduced urinary output and progressive decrease in blood pressure that may lead to death unless appropriate treatment is provided.

 

https://www.medicinenet.com/script/main/art.asp?articlekey=11224 

 

 

 

correct information although regarding burns it is related to burn severity and affected body surface area unless you argue the patient has significant comorbid conditions that would predispose him/her to a more severe body response aka requiring less severe injury.

 

that is why some burn victims require hospitalization and others dont. 1st degree sunburn limited to the face in a young healthy person should not require hospitalization.

Edited November 12, 2018 by atyclb

[crankshaft]

At the news conference and it was my sister I might have jumped across the table and throttled that hospital administrator....just saying...

 

 

 

 

 

[TumblinDice]

He said, she said...

Traumatically sad for the daughter .

[metisdead]

An off topic post has been removed, this has nothing to do with USA. 

 

A troll post has been removed. 

[atyclb]

23 hours ago, atyclb said:

 

good thought but related to burn severity and involved body surface area %.  1st degree facial is low suspect.

 

this is a very interesting and unusual case. hope the path findings are made public.  anaphylaxis? airway distress and lungs clamping down?  blood vessel eroded?

 

no doubt the tv experts will solve it

 

more of story out. guy poured foundry strength acid down her mouth, face and torso while she was sleeping. can explain why she died as opposed to only 1st degree facial burns. if acid ingestion/aspiration was apparent at first hospital they should have kept her and treated urgently.

[kiwikeith]

On ‎11‎/‎12‎/‎2018 at 1:07 PM, DoctorG said:

Can only fence-sit on this one as not enough information to make a real comment. Both versions appear plausible. 

It is possible that the shock of this had a big part in her death.

If true then the hospital should have kept her for  surveillance or at least sent her in an ambulance under medical supervision.

A lot of ducking and diving going on here, and tragic that an acid attack happens in LOS, normally native to other countries.

[OmarZaid]

On 11/12/2018 at 8:17 AM, chrisinth said:

She could also have lapsed into secondary shock, something that the hospital should/would have been aware of.

 

Often overlooked, secondary shock is a killer.

 

The above is only an opinion as all the facts aren't clear.

looks like she aspirated and hemorrhaged, then drowned in her own blood --- terrible way to go 

[Derek B]

Something wrong somewhere.............how can an acid attack to the face be treated like a heat burn. Senior registrar & Police should of been called by the first hospital and transfer by ambulance arranged.

 

Guys that throw acid are the worst.

[atyclb]

3 hours ago, Derek B said:

Something wrong somewhere.............how can an acid attack to the face be treated like a heat burn. Senior registrar & Police should of been called by the first hospital and transfer by ambulance arranged.

 

Guys that throw acid are the worst.

acid burn on skin doused with running water, as heat burn is. report said 1st degree.