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Failure to Diagnose Compartment Syndrome in Florida: When a Broken Bone or Muscle Injury Becomes a Surgical Emergency

A 34-year-old construction worker falls from a ladder and fractures his lower leg. At the emergency department, X-rays confirm the fracture, his leg is placed in a splint, and he is discharged with pain medication and instructions to follow up with an orthopedic specialist. Over the next several hours, the pain becomes unbearable. He calls the hospital because the medication is not helping. He is told that severe pain is common after a broken bone. By the following morning, he cannot move his toes. When he returns to the hospital, orthopedic surgeons diagnose acute compartment syndrome. Emergency surgery is performed,...
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Failure to Diagnose Sepsis in Florida: When a Treatable Infection Becomes a Life-Threatening Medical Crisis

A 61-year-old woman visits the emergency department complaining of fever, chills, and pain while urinating. She has been feeling weak for two days, but she assumes it is a urinary tract infection that simply needs antibiotics. After several hours, she is diagnosed with a bladder infection, given oral medication, and discharged home. By the next morning, her husband cannot wake her. Paramedics rush her back to the hospital. This time, physicians diagnose septic shock. The infection has spread throughout her bloodstream, causing multiple organs to begin shutting down. She survives after weeks in the intensive care unit, but she never...
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Failure to Diagnose Bowel Perforation in Florida: When Severe Abdominal Pain Signals a Surgical Emergency

A 58-year-old woman arrives at the emergency department complaining of severe abdominal pain that began suddenly several hours earlier. She feels nauseated, her abdomen is becoming increasingly swollen, and every movement makes the pain worse. After an examination, she is told she probably has a stomach virus or food poisoning. She receives medication for nausea and pain before being discharged home. By the following morning, her husband calls 911 because she is confused, pale, and struggling to stay awake. At the hospital, a CT scan reveals a perforated bowel. Intestinal contents have leaked into her abdominal cavity, causing a widespread...
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Can Medical Records Be Changed After an Adverse Event? Understanding EHR Audit Trails

Can Medical Records Be Changed After an Adverse Event? Understanding EHR Audit Trails When something goes wrong during medical treatment, one of the first things many patients do is request a copy of their medical records. These records often provide the most detailed account of what happened before, during, and after an adverse medical event. They can include physician notes, nursing documentation, medication records, laboratory results, imaging reports, surgical records, discharge instructions, and communications between healthcare providers. Occasionally, however, patients notice something that causes concern. A note appears to have been added after the fact. Information they remember discussing is...
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Failure to Diagnose Pulmonary Embolism in Florida: When Shortness of Breath Is a Life-Threatening Emergency

A 43-year-old woman arrives at the emergency department complaining of sudden shortness of breath and sharp pain in her chest. She tells the physician that taking a deep breath makes the pain worse. Two weeks earlier, she underwent knee surgery and has spent much of her recovery resting at home. Her electrocardiogram is normal. A chest X-ray doesn't show pneumonia. She is told she is probably experiencing anxiety and is discharged home. Later that evening, she collapses in her kitchen. Paramedics begin CPR, but despite their efforts, she dies from a massive pulmonary embolism—a blood clot that traveled to her...
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Failure to Diagnose Meningitis in Florida: When Flu-Like Symptoms Become a Medical Emergency

A college freshman returns home from school complaining of a severe headache, fever, and body aches. His parents assume he has caught the flu that has been spreading around campus. When he begins vomiting later that evening, they take him to a local emergency department. He is diagnosed with a viral illness, given medication for nausea, and sent home. By sunrise, he is difficult to wake up. An ambulance rushes him back to the hospital, where doctors discover he has bacterial meningitis. He is admitted to the intensive care unit, but despite aggressive treatment, he suffers permanent hearing loss and...
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Why Medical Malpractice Cases May Be Declined Even When a Medical Error Occurred

Why Medical Malpractice Cases May Be Declined Even When a Medical Error Occurred Learning that a doctor, nurse, hospital, or other healthcare provider made a mistake can be frustrating, confusing, and life changing. For many patients, the next logical step is contacting a medical malpractice attorney to find out whether they have a legal claim. Sometimes, however, the answer they receive is unexpected. Even when an attorney agrees that a medical error may have occurred, the law firm may decide not to pursue the case. This often leaves patients wondering how a case can be declined if the healthcare provider...
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Failure to Diagnose Ovarian Torsion in Florida: When Severe Pelvic Pain Is a Surgical Emergency

A 27-year-old woman suddenly develops intense pain in the lower right side of her abdomen while at work. The pain is so severe that she becomes nauseated and begins vomiting. Concerned that it might be appendicitis, she goes to the emergency department. After several hours of evaluation, she is told the pain is probably caused by an ovarian cyst. She receives pain medication, is advised to rest, and is discharged home. The next morning, her pain is even worse. She returns to the hospital, where imaging and emergency surgery reveal ovarian torsion. By the time the surgeon reaches the operating...
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Failure to Diagnose Spinal Epidural Abscess in Florida: When Back Pain Is Actually a Neurological Emergency

Back pain is one of the most common complaints seen in emergency departments and primary care offices across Florida. Most of the time, the diagnosis is something relatively routine—a muscle strain after lifting something heavy, arthritis, or a herniated disc. But every so often, back pain is the first warning sign of a rapidly spreading infection around the spinal cord. A patient arrives at the emergency room complaining of severe back pain and a fever. They tell the physician they have never experienced pain like this before. They are diagnosed with muscle spasms, given pain medication, and sent home. Two...
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Sepsis Misdiagnosis in Florida: When Delayed Treatment Becomes Malpractice

Sepsis is a medical emergency that can look deceptively ordinary at first. A person may arrive at an emergency room or urgent care in Florida with fever, confusion, shortness of breath, weakness, vomiting, or a fast heart rate. Those symptoms can be mistaken for the flu, dehydration, food poisoning, a panic attack, or a routine infection that can wait. But sepsis is not simply an infection. It is a dangerous, body wide response to infection that can rapidly damage organs, drop blood pressure, and lead to septic shock, amputation, brain injury, or death. The reason sepsis is so closely tied...
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