The 50 -year -old man died of cardiorepiratory arrest after visiting the hospital’s emergency in Cowansville twice.
However, he presented persistent chest pain, a loaded medical history and well -known risk factors, according to the Coroner report, Dr. Yves Lambert.
On December 26, 2024, the man presented himself to the emergency with chest pain, cough and secretions tinged with blood. The doctor diagnoses pneumonia, prescribes antibiotics and cortisone, then gives him his leave the next day, recommending that he come back if the symptoms get worse.
Three days later, on the night of December 30, he returned to the emergency for a strong radiant chest pain on the back.
It is then classified as a priority 3 – a level that requires a medical assessment within 30 minutes. Quickly installed in a room for an electrocardiogram, he waits for more than an hour before seeing a doctor briefly.
At 3 a.m., a nurse has an electrocardiogram to the doctor, who leaves no note on this subject in the file and prescribes an antacid without having seen the patient.
Once evaluated, the doctor concludes a gastritis probably caused by prednisone, an anti-inflammatory family of the cortisone family. It prescribes a drug for the stomach, a inhaler as well as a pulmonary radiography to be done externally.
He grants the leave without indicating follow -up or what to do if the pain intensifies. However, the man still had pain in the chest by leaving the hospital; It was his spouse who had to take the wheel and he failed to find respite that night.
The next day, when it comes back from the pharmacy with the prescribed drugs, the man is suddenly taken from respiratory distress and collapsed around 11:45 am.
His spouse calls 911 and tries to revive him. Transported to hospital, he was declared dead at 1:05 p.m.
The CIUSSS of Estrie will follow the recommendations of the coroner
The autopsy confirms an acute coronary thrombosis, a sudden obstruction of a major artery which fuels a large part of the heart.
Man suffered from morbid obesity, type 2 diabetes, hypercholesterolemia and had family history of heart problems. He had stopped taking his drug against cholesterol several months earlier.
Dr. Lambert recommends that the Ciusss de l’Estrie, which oversees the BMP Hospital, “revises the quality of care and care” given to the patient during their emergency visits.
He also suggests implementing measures to improve patient monitoring in similar situations.
For its part, the CIUSSS of Estrie wishes to offer its condolences to relatives and the family of the deceased. He claims to have read the Coroner’s report and undertake to implement all the recommendations made.
A file was filed on July 14 for a complete analysis of the quality of the care and the care provided. The CIUSSS specifies that it is now awaiting the assessment of the responsible committee.