The two-year-old boy was diagnosed with bronchitis and cold bacteria entered the intestines. He still had fever for nearly two weeks after taking the medicine. When his father took him to the pediatric clinic for treatment by smelling qi, his condition suddenly deteriorated and he died. In the death investigation, the pediatrician said that it would be better if the white car could be called as soon as possible on the same day. It is not wrong to call an ambulance immediately, but the boy was known to have shortness of breath. Before the doctor's diagnosis, the nurse suggested that the boy go to the clinic to smell his breath, thinking it was not appropriate, and said, "I I will never ask a parent to bring a child who feels sick to my clinic to see him.”
Undiagnosed boys are advised to go to the clinic
Pediatric expert doctor Xu Zhuowen said that according to the testimony of the boy Chen Jiayi's father, the boy began to feel unwell on December 4, 2016, and he did not improve after taking the medicine for nearly two weeks. On the 16th of the same month, he called Dr. Liang Yinji's pediatric clinic. The nurse said on the phone that she could take the boy to the clinic to smell the breath.
Xu believes that the boy was known to have shortness of breath at the time, and after several visits to the doctor, there was no improvement. Therefore, it was not appropriate to do this without a doctor making a diagnosis.
Pediatric expert Xu Zhuowen said that the boy's lung infection was not a matter of several days, and he believed that his death had nothing to do with the treatment by smelling the breath, and it was not a very wrong thing to call an ambulance late, but the boy had been ill for some time, and he was in the future. It is not appropriate to ask his parents to take him to the clinic after diagnosis and treatment.
(Photo by Liu Anqi)
The use of blood oxygen machine for monitoring
Xu also said that, looking at the process of seeking medical treatment that day, the boy was awake at the beginning, and then he felt tired and spirited at times. It is also appropriate to check in minutes, but I think it would be better to have monitoring equipment such as blood oxygen machines.
Lungs have been infected with treatment not cause of death
Xu continued to point out that the boy's death was caused by bacterial infection of his lungs, which filled his lungs with purulent phlegm, which made him unable to breathe, and then caused his heart to stop.
He pointed out that the accumulation of purulent sputum did not occur in a short period of time. The boy went to the clinic for treatment for only 30 minutes that day, so the treatment he received was not the cause of the boy's death.
Main witness statement.
(See the picture below for details)
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It is unfortunate to faint after smelling the breath
As for Liang's decision to prescribe the smelling drug to the boy, Xu thinks it is reasonable, but he fainted shortly after smelling the breath. Xu said the timing was too coincidental, and believed that the nebulizer had a chance to trigger the boy's fainting, although It is unclear whether the trigger point was due to the boy being covered by a mask, or because the side effects of the drug stimulated the narrowing of the trachea.
The deceased, Chen Jiayi, went to the private clinic of paediatric specialist Liang Yinji for medical treatment due to shortness of breath on December 16, 2016. After receiving nebulizer treatment, her condition suddenly deteriorated sharply and was sent to United Hospital. Only 2 years and 2 months old.
The boy's sudden coma was unexpected and understandable by doctors
Referring to calling an ambulance to the hospital, Xu pointed out that it may not happen once in 30 years that a child goes to a private clinic for medical treatment and needs an ambulance to be sent to the hospital; even in a large pediatric hospital, at least one will be called every two to three weeks. The child was suddenly admitted to the hospital in need of emergency treatment, so the case involved is very rare.
The boy was still awake during the face-to-face consultation, and then suddenly fell into a coma. Xu Ziyan could imagine that the situation was urgent and he might be in a hurry, so it is understandable that the doctor did not expect this situation to occur.
Prescribing antibiotics is normal practice in Hong Kong
As for the boy who had been diagnosed with viral bronchitis and was prescribed antibiotics against the virus when he consulted a doctor before the incident, Xu pointed out that he was taught not to prescribe antibiotics when he was a doctor in the UK, but this was only to prevent the patient from developing antibodies against it.
Prescribing antibiotics is a normal practice in Hong Kong because "Hong Kong people don't like to leave the clinic, but they don't hold on to a few bags of medicine."
Xu also pointed out that human lungs are injured due to viral infection, which can easily lead to bacterial infection, so even pre-prescribed antibiotics are not harmful, and there is nothing wrong with boys taking them.
Case No.: CCDI-701/2017(SH)
The deceased father said that his son seemed comfortable at first after being treated by smell at the boy's clinic. Soon after, the boy's clinic treated the cause of death. Call an ambulance in 3 minutes, see the video it took 10 minutes
