Follow-up 2
Pediatrician Wang Jun of the Armed Police General Hospital believed that it is possible to use Diazepam on children, but the dosage must be determined according to the child's weight. In addition, one side effect of Diazepam is that it can cause a large amount of mucus in the patient's airway, suppressing breathing. Especially after children use Diazepam, they are prone to increased respiratory secretions. Therefore, after administering medication to the patient, doctors should closely monitor them.
"The child is gone...gone..." Yesterday afternoon, in the emergency hall of the Children's Hospital, a boy dressed in white lay on the bed. His mother Wei Chun sat on the ground, her throat hoarse from crying.
According to reports (by reporters Li Chao and Yang Jie, intern Huang He), early the previous morning, a two-year-old boy was sent to Beijing Children's Hospital due to convulsions and soon died. The family said that more than half an hour after the child was brought to the hospital by the 120 ambulance, the hospital finally began resuscitation efforts, and it was the delay in treatment that caused the child's death. Beijing Children's Hospital stated that the child's condition was relatively complex, and the sudden change in cause still needed investigation.
"Unfortunately, we were unable to save the child's life," Liu Wei said. The doctor attempted resuscitation for 10 minutes, but the child did not recover his heartbeat.
Liu Wei, Just's father, said that at the time, he drove for more than 10 minutes to bring Just to Shunyi Maternal and Child Health Hospital. "At that point, the child could still call out 'mommy.'" According to Liu Wei, at Shunyi Maternal and Child Health Hospital, the child had another seizure. After the doctor examined him, they suggested sending the child to a higher-level hospital. "They also helped us contact the Children's Hospital and called the 120 ambulance."
Furthermore, Liu Wei said that the doctor in the ambulance administered "Diazepam" to Just. This situation was noted by the Children's Hospital doctor during the handover, but no corresponding care was provided afterward.
Dr. Wang Jun pointed out that if the child's convulsions were controlled by the emergency doctor and their vital signs stabilized without any acute symptoms, then following the normal registration process should not have been a problem.
Parents claimed that they waited half an hour without seeing a doctor.
Liu Wei indicated that the relevant information had been communicated by the doctor at Shunyi Maternal and Child Health Hospital to the Children's Hospital, and they had helped arrange the transfer. The emergency doctor also completed the necessary handover. However, after arriving at the Children's Hospital, from 2:10 AM to 2:45 AM, more than half an hour passed after a simple examination of the child, and the doctor declared that the child was "fine." "No other rescue measures were taken, and they asked us to register for outpatient services, delaying the child's optimal treatment time."
Wei Chun recalled that at around 1 AM on the 27th, Just's hands suddenly started convulsing, and there was cold sweat on his face.
The hospital stated that they were investigating the cause of death.
The boy's name was Just (a pseudonym), who was less than two years old. Wei Chun said that on the 26th, from the moment her son woke up in the morning, every time he ate something, he would vomit it back up. However, his condition seemed quite normal, and he still played with the family. "We just thought the child had caught a chill, so we took his temperature that night, which was 37.4℃."
[Expert Opinion]
Yesterday, Liu Wei received Just's death certificate, which stated the cause of death as "convulsions, hypoglycemia." "But until now, we still don't know why the child died".
Early in the morning, the child suddenly had convulsions and was sent to the hospital.
[Expert Opinion]
In response to this, yesterday, the Children's Hospital responded that starting from the early morning of the 27th, relevant departments within the hospital began communicating with Just's parents about the matter, comforting the family and negotiating follow-up actions. The hospital stated that Just's condition was relatively complex, and the sudden changes in cause still required investigation, analysis, and expert evaluation. The incident has been reported to the relevant higher authorities, and currently, multiple departments are jointly negotiating solutions.
Is it appropriate for children to use "tranquilizers"?
Was there an error in the hospital's emergency procedures?
Under normal circumstances, Dr. Wang Jun pointed out that doctors would determine whether immediate resuscitation or the regular emergency procedure should be followed based on the condition of the patient at the time. If the child exhibits signs of respiratory failure, abnormal heart rate, blood pressure, or other acute symptoms upon arrival, the green channel should definitely be immediately opened for resuscitation before handling various procedures and making up payments.
"It looked like the child was sleeping," Liu Wei said. After checking the child's eyes, the doctor said the child wasn't having convulsions and was fine, so they were asked to first register for the "overnight outpatient service".
Liu Wei remembered that it wasn't until 2:45 AM that it was finally their turn. At that time, a female doctor who had previously examined the child checked the child's feet, eyes, and throat again and said "nothing wrong," and then began writing the medical record.
The registration slip provided by Liu Wei showed the time as 2:17 AM. Liu Wei said he registered under number 104, with five or six people ahead of him. During this time, the child burped once, but after the doctor examined him, they said it was snoring while sleeping. "The child's grandmother begged the doctor to see the child quickly, but the doctor refused."
"Not even two minutes later, my wife noticed the child's complexion turning yellow," Liu Wei said. During the rescue, another doctor said the child had no heartbeat. At 2:50 AM, the doctor asked Liu Wei if he agreed to intubation. "They said that if intubation was performed, there might be tissue damage." Liu Wei said that at that time, they only wanted to save the child, so they signed "agree to intubation".
Liu Wei introduced that in the ambulance, the emergency doctor gave Just oxygen through a tube, hung an IV drip, and also conducted an electrocardiogram.
Liu Wei said that the child's medical record recorded that on the 120 ambulance taking Just to the Children's Hospital, the doctor used a drug called "Diazepam" to stabilize the child. "Is it appropriate to use Diazepam on such a young child?" Liu Wei asked.
Dr. Wang Jun emphasized that close observation does not mean 24-hour constant supervision, but there must always be someone paying attention to the patient's condition changes, ready to handle any issues immediately.
Liu Wei recalled that when they arrived at the Children's Hospital, he glanced at his watch, and it was 2:10 AM. At that time, after the emergency doctor introduced the child's condition to the Children's Hospital doctor, they removed the oxygen tube and left.
Regarding this matter, yesterday, the reporter was unable to get in touch with the involved 120 emergency personnel.
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