A&E protocol for a patient presenting with severe upper abdominal pain

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Hi, I am trying to find out what is the system for assesing patients that go to A&E with severe upper right-side abdominal pain with a history of gall stones ?

Is ther a protocol that A&E doctors should follow in the UK, more specifically in the Birmingham area ?

How should "Severe Acut Pancreatitis" have been avoided, it there a check list, blood tests, Xray, ultrasound or other diagnostic proceedures that should be followed, all I was given was a physical exam and sent home with co-codamol which I'd been taking for the previous 2 days,  3 days later I was taken by 999 ambulance suffering a life threatening problem that I think could and should have been avoided by a proper investigation of the pain, the doctor and consultant were told about the history of gall stones and that co-codamol had already been used with little reduction in pain

Can anyone direct me to how I can find the required protocol / A&E proceedures  ?

Thank,  hope someone can help me

Regards

BOB

0 likes, 3 replies

3 Replies

  • Posted

    I do sympathise with you Bob but it is unfortunate the pancreas pain can be very similar to a number of other abdominal  issues. It is possible that a blood test could have picked this up but it's not, to my knowledge, part of any protocol. 

    You've very unlucky and I'm not sure that earlier tests could have prevented the outcome.

    • Posted

      Hi Stuart,

      The private pathologist's report said the missed a vital 3 day window when her death could have been prevented, an ultra-sound scan would have shown the Gall Stone blocking the Pancreas duct, they should have at leased thought about the possibility of the Gall Stone being a precursa to severe acute pancreatitis,  my wife deid due to negligence by the Queen Elizabeth consultant and the junior doctor that looked at her and then prescribed Co-Codamol that she had already been taking for the last 24 hours,  if these tests are not part of the protocol they need to be added in severe cases

      Thanks for your reply

  • Posted

    So sorry to read your reply Bob, I wish that I could have been more helpful.

    Stuart

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