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The procedure appears to have been rushed forward faster than was entirely necessary, which contributed to several other factors that had a direct impact on Mr. B's health and condition. This issue marks the intersection between human resource issues and medical issues in the case as described (Hoot & Aronsky 2008).
Over-administration of sedation clearly occurred, and the patient's potential nervousness might have contributed to increased blood pressure and thus led to a greater quantity of sedatives being administered than were needed. This is in part due to the speed with which the procedure was performed.
The patient's history does not appear to have been fully considered before sedatives were administered and other actions were taken. This at least in part a result of the lack of adequate staffing in the emergency department and the rush with which the procedure was accomplished. A better understanding of Mr. B's initial condition and previous history could potentially have reduced his risk exposure and led to a different course of action by staff.
The use of valium as the sedative for this patient might also have contributed to Mr. B's eventual demise, and alternative medications might have been sought with a more careful assessment of the patient's history and current condition. Problems with valium are...
Again, time and staffing issues directly contributed to the rushed decision making that appears to have occurred in this instance.
Finally, the decision to transport the patient to another facility might have led to increased damage and instability. Though this was not a causal factor in the development of Mr. B's extreme condition, it is possible that greater stabilization and eventual return to brain activity could have been achieved had the decision to move the patient so shortly after a massively destabilizing incident had occurred. While this decision was rightfully the family's to make, it could potentially have contributed to the patient's eventual death at the other facility.
References
Hoot, N. & Aronsky, D. (2008). Systematic Review of Emergency Department Crowding: Causes, Effects, and Solutions. Annals of Emergency Medicine 52(2): 126-36.
Koppissetti, V. & Chandra, N. (2011). Influence of Alcohol and Smoking on Drug Action: A Step for better utilization of drugs. Journal of Chemical and Pharmaceutical Research. 3(1): 242-8.
Stanton, M. (n.d.) Hospital Nurse Staffing and Quality of Care. Research in Action 14.
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