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[Beware of labels].

Eliott Mazar1, Thomas Schmutz2, Youcef Guechi2,3

  • 1Infirmier expert en soins d'urgence, Service des urgences, HFR Fribourg, Hôpital cantonal, 1752 Villars-sur-Glâne.

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Frequent emergency service users may face delayed care. A patient with chronic abdominal pain experienced a perforated small intestine after the "frequent user" label potentially delayed reassessment and diagnosis.

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Area of Science:

  • Emergency Medicine
  • Gastroenterology
  • Patient Care

Background:

  • Patients labeled as 'frequent users' of emergency services may experience biases.
  • Chronic abdominal pain is a common condition requiring careful management.
  • Timely triage and reassessment are critical in emergency departments.

Purpose of the Study:

  • To analyze a case where a 'frequent user' label potentially delayed diagnosis and treatment.
  • To highlight the importance of reassessment in emergency care.
  • To discuss the impact of patient labeling on clinical decision-making.

Main Methods:

  • Case report analysis of a patient with chronic abdominal pain.
  • Review of emergency department protocols and patient flow.
  • Evaluation of diagnostic and treatment timelines.

Main Results:

  • A patient with a 'frequent user' label presented with severe abdominal pain and was not reassessed by triage.
  • Delayed diagnosis of a perforated small intestine occurred.
  • Analgesic treatment was initiated, but definitive diagnosis was significantly delayed.

Conclusions:

  • The 'frequent user' label may contribute to diagnostic delays and suboptimal care.
  • Vigilant reassessment and adherence to protocols are crucial for all patients, regardless of their service utilization history.
  • Systemic biases in emergency care need to be addressed to ensure equitable treatment.