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Video: Man Dies During Sleep Study - Caution: May be Tough to Watch
Tap -- not distilled -- water in sleep clinic tanks...and now this.
http://abcnews.go.com/Health/Sleep/video/man-dies-during-sleep-stud...
Views: 3277
Replies to This Discussion
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Permalink Reply by RockRpsgt on
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This happened a while back. Very tragic. In the original case the lab was cleared of wrong doing. This young man also had some other issues. The fact that it happened in a sleep lab is a coincidence.
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I blaim this death on the parents. Why was this young man over 350ilbs? Diabetes at 25?
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Most of these are already requirements for the study. Most labs are only required to have one defibulator.
"Provide a consent form requiring the patient's signature. This
form shall clearly and conspicuously state the potential hazards and
risks involved in undergoing a sleep study."This last one damages more than it helps. 1 person has died in a sleep lab. How many have died because they did not come in? I have nothing against CPR and first aid training. I am certified in both. Not just because I am a tech, but because Im also a parent.
Mike said:Apparently, this is prompting a bill being brought before the Georgia legislature: GA SB504 The Brandon Harris Act, which would require GA sleep centers to meet certain requirements. If the bill passes, in addition to requirements of the American Academy of Sleep Medicine accreditation criteria, each sleep facility in the state would have to:
(1) Have a licensed sleep specialist or licensed nurse professional on
duty in the facility on a 24 hour basis;
(2) Require continuing education and recertification of sleep
technologists employed by such facility;
(3) Require sleep technologist or polysomnographer training and
certification in basic life-saving techniques including
cardiopulmonary resuscitation;
(4) Provide a defibrillator in each patient room;
(5) Prior to a sleep study, secure emergency contact information from
the patient and in the event a patient experiences indications of
medical distress, the sleep specialist on duty shall be responsible
for immediate contact of the patient's emergency contact; and
(6) Provide a consent form requiring the patient's signature. This
form shall clearly and conspicuously state the potential hazards and
risks involved in undergoing a sleep study.
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Permalink Reply by Cathy s on
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when I had my sleep study the tech asked me the next morning if I had back problems. I said yes why and she said she noticed that although I frequently changed positions I never laid on my back. I dont think that laying on your back is a requirement for sleep study! I dont believe this center is at fault_it is the parents fault for allowing this boy to be in such poor physical condition
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Permalink Reply by Matt on
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Sometimes it just isn't feasible to do stuff like this, with people who have other issues. I am quadriplegic, and wouldn't blink an eye if a sleep lab did not feel comfortable doing a study on me.
And if I had died during any of my sleep studies, I doubt there would be a great surprise, by anyone. My medical power-of-attorney person certainly wouldn't be surprised, nor prone to pursue a negligence charge. After all, we knew the risks and signed the consent…
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Permalink Reply by ZolliStar on
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The parents appear never to have managed his eating or diet as he was growing up.
The man was careening toward a massive health crisis. It is possible that the study was a stressor for him (and for some, an overnight can be quite a stressor) and may have triggered the crisis. The crisis itself was inevitable. If not that day, another day (or night).
And speaking of overnight study stressors: A good friend had to leave the lab a few hours in to his study. He couldn't "take" the mask, the attached probes, etc., etc.
RockRpsgt said:I blaim this death on the parents. Why was this young man over 350ilbs? Diabetes at 25?
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Permalink Reply by Mary Z on
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No matter the circumstances, I hope this was investigated thorougly and the truth is known, if not to the public, to the hospital and the family. I have watched the video once, and do not have the courage to do it again.
I agree we do not want the expense of a sleep study to rise. Possibly people with serious other health problems should be administered a sleep test under controlled circumstances, such as in the step down unit of a cardiac care unit in a hospital.
I, too was asked to sleep on my back during part of my study and this is luckily a comfortable for me. I understand the rationale of studying responses to different positions. Perhaps many cases of positional apnea have been identified saving some people the cost and related possible difficulties with CPAP. Any technician should be allowed to make exceptions, even if we are asked to sign a waver, regarding certain aspects (and sleeping position is the only one I can think of) of the sleep test.
Technicians should be required to call the doctor or initiate a code blue
(or what ever they call them now) in similar situations.
. Perhaps. though this should not be our responsibility, we should put this in writing to be signed by the ordering physician as well as our tech.
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Kate, the father, who is suing, said all those things. But are they true?
The short video clip suggested that the man was getting immediate attention.
Kate said:The father said his son was waving his hands in a plea for help. The father also said his son collapsed on the floor. The father also said those techs ignored him there on the floor and walked around him like a dog! If what that father is saying is true, this was murder!
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I was asked if I COULD sleep on my back, but, that is not a comfortable position for me so I simply said, "No". I have to agree 100% with Rock here - thousands of sleep studies have been done with no issues, yet, when someone comes in who clearly has one foot in the grave and the other on a banana peel kicks the bucket, they want to blame the sleep center. Sounds more like a gold-digger than anything.
Interesting how on the video "all the want is to ensure that this doesn't happen to other people in the community", yet, they file a lawsuit seeking MONETARY damages. That's just great - so, an already stressed hospital is going to have to pay out money, OR, pay higher insurance premiums so they have less money available for patient care.I have to agree with EVERYONE that said the PARENTS are to blame for letting him get into the state he was in the first place. Maybe if the police charged them with NEGLIGENCE in the care of their son, they would learn a lesson. I just wish I could be put on a jury like that...
Should they have AEDs ? Sure.
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Let's see, the article says he was mentally-handicapped, and that his family says he was very overweight, and suffered from congestive heart failure, cardiomyopathy, diabetes and high blood pressure. That's serious stuff.
One could get into that condition, regardless of family. See it all the time at the VA hospital, with older patients.
So, I guess it could be said that his medical team failed him; that they shouldn't have risked the sleep study, or that the lab should have been better equipped to handle such a situation.
I didn't see where it said he was required to sleep on his back?
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Good points, Matt.
I wonder if one meaningful, non-regulatory approach, would be simply to have detailed consent forms signed by the patient and his or her family ESPECIALLY in cases where the health condition is so parlous.
Allow lawsuits like this one to proceed and you'll see what happens next: Labs all over the country will tighten their admitting requirements -- for which I would not blame them -- leaving a lot of undiagnosed SA people at greater risk because they can't get meaningful diagnoses and therefore appropriate treatment.
Again: unintended consequences.
Obviously, there is going to be a detailed review but so far, sorry to say: I smell (monetary) exploitation by the man's family.
Matt said:Sometimes it just isn't feasible to do stuff like this, with people who have other issues. I am quadriplegic, and wouldn't blink an eye if a sleep lab did not feel comfortable doing a study on me.
And if I had died during any of my sleep studies, I doubt there would be a great surprise, by anyone. My medical power-of-attorney person certainly wouldn't be surprised, nor prone to pursue a negligence charge. After all, we knew the risks and signed the consent…
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Frankly, I suspect that a defibrillator in every room is a bit much. One, maybe two, on the premises: fine. But in each room?
We're pretty darned good at spending OPM (other people's money). But in the end, it's our money so let's be thoughtful and sensible.
Mike said:i agree that regulation is not always the answer. but with the possible exception of having a defibrillator in each patient room, are the regulations being proposed here really that onerous/ unreasonable?
ZolliStar said:Actually, given the thousands upon thousands of people who have had a sleep study at Emory, it's probably inevitable the someone would have a serious problem. I'm not sure that all the regulations (if they were already in place) would have helped this man (having watched/listened to the video you uncovered).
There is always the notion that we can legislate away all risk. We can't; there will always be something else that wasn't considered or something that applied in a particular situation that is completely atypical and wholly unforeseen.
Watch for this unintended consequence: Sleep clinics may refuse to do studies for people with health problems -- the very problems that are caused by sleep apnea. These are people whose lives really are at risk and really do need to get on CPAP therapy.
Mike said:guaranteed the American Academy of Sleep Medicine -- the AASM -- and the Sleep Center industry oppose passage of this bill. Wait for it. . .
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