Emergency Medical Service, Per Hyldgaard Jensen

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Superficial examination of Danilo by the Emergency Medical Service

In the evening, on Oct. 13, 2011 Danilo went to the emergency medical service in Frederikshavn. Here, he spoke with a doctor who would prove to be the only doctor in the whole following process who physically examined Danilo. The visit to the emergency medical service was Danilo’s first call for help after a period of sadness. In the notes from the consultation it can be read that Danilo for a long time had been upset, his mood was swinging, he was not happy and he slept badly. Additionally Danilo also told that he was lonely and did not have much willingness to contact others. The doctor at the emergency medical service chose to hand over 25 grams Buronil – an antipsychotic agent- to help calm down Danilo. He was then sent home and told to seek out a doctor the next day, and to take contact to a psychologist for further examination.

Should Danilo have received antipsychotic medication?
The consultation took place at 9 pm and instead of referring Danilo directly to a specialist or psychologist, the doctor sent him home with antipsychotic medication to calm him down. This amazes Marianne and Denis, as their son had no history of mental illness. Therefore, it is their opinion that the emergency medical service, with its general and non specialized knowledge, should not be the first in the healthcare system ever, to prescribe antipsychotic medication to Danilo. Instead, Danilo ought to be immediately referred to a psychologist or specialist, to make a correct diagnosis.

Superficial study
When a patient shows up with sad thoughts and feelings of loneliness, the practitioner should, according to the Terrida family, investigate whether the patient is at any risk of suicide. If the emergency medical doctor has any perception that the patient is at risk of suicide, the practitioner should refer the patient to a psychiatric hospital and make sure that the patient immediately receives help. However, did the emergency medical doctor even examine whether Danilo was at any risk of being suicidal? Not according to the journal. And when Danilo’s parents later reported the practitioner to the National Agency for Patients Rights and Complaints, the practitioner himself pointed out that he had nothing further to add: “To the Agency for Patients Rights, I would like to point out that I do not have any further information regarding the patient than those already sent to me in the emergency medical note from the 10/13. 2011. ” The emergency medical doctor therefore stressed that he only had the information about Danilo, that stood in the health record. He knew nothing about Danilo. Still, he could, half a year, and many, many patients later, add that “… he (Danilo, ed.) did not, at any time, occur suicidal at the visit …”. The addition seemed untrustworthy to Marianne and Denis, and they still wonder today whether it was in fact an attempt by the doctor, to cover up his own mistakes: That he had not investigated thoroughly whether Danilo was suicidal. Whether Danilo actually was thinking about suicide or not, the fact that he goes to the emergency medical service by himself, should be reason enough to at least complete a thorough check-up. Therefore Danilo’s family also complained to the Agency for Patients Rights and Complaints about this treatment of Danilo, but the complaint was dismissed.

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