Plan: Patient to ICU for ventilatory support. No availability currently in medical or
surgical ICU.
Will be given intermediate care until an ICU bed is available.
Diagnosis:
1)
2)
3)
4)
5)
6)
7)
8)
9)
10)
Partial acute respiratory failure.
Shock, probably septic. Focus (…) intrahospital pneumonia.
DM type II uncontrolled.
Renal failure; acute?
High blood pressure.
Congestive heart failure.
Complete arrhythmia caused by atrial fibrillation.
Coronary cardiopathy.
Hyperkalemia.
Loss of consciousness.
(…)
23:00 hrs
Patient in arrest:
Renal.
Respiratory.
Circulatory.
Central nervous system.
Progressive metabolic acidosis.
Patient in multiorgan failure due to prior pathology (illegible).
Discussed with physician from medical ICU. Will be handled with all available
measures in inter [incomplete; could read “intermediate”] with no new treatment.21
45.
Similarly, at 12:10 a.m. on February 7, 2001, the following entry was made:
Serious. Diagnosis already known.
Pressure more stable, saturating 96 (illegible)
(illegible) consciousness still affected (illegible)
Patient with prior cerebral damage.22
46.
At the same time and date, the following entry was made regarding the family’s
awareness of the situation:
The seriousness of the situation has been discussed with the family; I have also
(illegible) about the decision to keep him in intermediate and not in the ICU because
of the patient’s condition and prognosis, together with the lack of beds at the
21
Annex 8. Clinical record of Vinicio Antonio Poblete Vilches (annex to the State’s submission of September 23,
22
Annex 8. Clinical record of Vinicio Antonio Poblete Vilches (annex to the State’s submission of September 23,
2008).
2008).
8