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Man Dies at Home After Paramedics Diagnose Acid Reflux

By Elissa Silverman

Washington Post Staff Writer

Thursday, December 4, 2008; Page B04

A 39-year-old Northeast Washington man died yesterday, a few hours after

paramedics responding to his complaints of chest pains and trouble breathing

told him he had acid reflux and did not take him to a hospital, family members

said.

D.C. fire officials are investigating the circumstances surrounding the death of

L. Givens, who was found by family members just before 6 a.m. in his home

in the 700 block of Division Avenue. Paramedics told Givens late Tuesday that he

had acid reflux, instructed him to take Pepto-Bismol and left, family members

said.

" I don't understand the paramedics, why, when he said he was in chest

discomfort, he wasn't taken to the hospital, " said Lolitha Givens, the man's

mother, who lives in the home and was there when 911 was called Tuesday night.

" I'm just baffled by that. "

Paramedics are required by department protocol to transport by ambulance a

patient who asks to go to a hospital, said Alan Etter, a spokesman for D.C. Fire

and Emergency Medical Services.

Officials said the D.C. medical examiner will conduct an autopsy to determine a

cause of death.

The department has launched an investigation into the call, Etter said. He said

that the department will interview all personnel who responded and that top

officials are involved in the review, including Fire Chief Dennis L. Rubin and

Assistant Fire Chief Lawrence Schultz.

" As per protocol, we are conducting a thorough quality assurance case review,

and we will determine whether proper care was provided and if the two medical

events are related, " Rubin said in a written statement.

Lolitha Givens said her son was in the living room Tuesday night when he yelled

out to family members to call 911. He was on his back on the floor and said he

had chest pains and was having trouble breathing.

A firetruck and ambulance from Engine 30 were dispatched to the house at 11:40

p.m., Etter said. The truck, staffed by three firefighters trained in emergency

medicine and a firefighter-paramedic, arrived first.

Lolitha Givens said the firefighters asked her son what was wrong, and the

emergency medical technicians who arrived by ambulance checked his vital signs

and performed an electrocardiogram, the results of which they said were normal.

The EMTs asked Givens whether he had eaten or had anything to drink that

evening, and he said he had eaten a burger, Givens said. They told him and his

mother that he probably was suffering from acid reflux and suggested he take

antacid.

" Six hours later, my son was on the floor, dead, " Lolitha Givens said.

After the family member found Givens, who was not breathing, yesterday

morning, another 911 call was made.

Improving the city's emergency medical services has been a stated priority for

Mayor M. Fenty (D) and Rubin since the death of Rosenbaum in

January 2006. Rosenbaum, a former New York Times journalist who lived in upper

Northwest, was beaten in a street robbery, but emergency workers assessed him as

a drunk and considered him a low-priority patient. He died two days later at

University Hospital.

A task force chaired by Rubin suggested numerous reforms, which Rubin said are

being implemented.

Givens was a father of two teenagers and worked as a counselor at a group home

for youths who had been victims of domestic violence, his mother said.

He was a graduate of Eastern High School and Wilberforce University in Ohio,

where he majored in business administration.

He coached Little League baseball and youth football and worked with a

basketball team in the Barry Farm neighborhood.

" Sports was his love, " Lolitha Givens said.

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Absolutely they have their work cut out for them...the problem is this problem

has been brewing since the early 80's...I have stories I heard in the mid-80's

from the folks that installed their dispatch software and hardware that are as

bad if not worse than this....and it has been allowed to grow and fester...

This won't be corrected in a few days or weeks....unfortunately in our instant

gratification society....that will make it very difficult for elected city

officials and labor bosses to standby and allow this change to occur.? This is

about changing a culture....and that cannot be done very quickly.? I liken it to

turning a super-tanker in the ocean...you don't simply turn the wheel and spin

around...it takes time to gently and smoothly head in a different direction.

Dudley

Re: Shades of Rosenbaum

Shades? Heck, it's like a complete repeat. I'm honestly thinking that the

ambulance service from Mother Juggs and Speed might be an improvement for DC.

Looks like Chief Rubin and Dr. Augustine have their work cut out for them....

-Wes Ogilvie, MPA, JD, LP

-Attorney at Law/Licensed Paramedic

In a message dated 12/7/2008 8:36:51 A.M. Central Standard Time,

simple_emt@... writes:

Man Dies at Home After Paramedics Diagnose Acid Reflux

By Elissa Silverman

Washington Post Staff Writer

Thursday, December 4, 2008; Page B04

A 39-year-old Northeast Washington man died yesterday, a few hours after

paramedics responding to his complaints of chest pains and trouble breathing

told him he had acid reflux and did not take him to a hospital, family members

said.

D.C. fire officials are investigating the circumstances surrounding the

death of L. Givens, who was found by family members just before 6 a.m. in

his home in the 700 block of Division Avenue. Paramedics told Givens late

Tuesday that he had acid reflux, instructed him to take Pepto-Bismol and left,

family members said.

" I don't understand the paramedics, why, when he said he was in chest

discomfort, he wasn't taken to the hospital, " said Lolitha Givens, the man's

mother, who lives in the home and was there when 911 was called Tuesday night.

" I'm

just baffled by that. "

Paramedics are required by department protocol to transport by ambulance a

patient who asks to go to a hospital, said Alan Etter, a spokesman for D.C.

Fire and Emergency Medical Services.

Officials said the D.C. medical examiner will conduct an autopsy to

determine a cause of death.

The department has launched an investigation into the call, Etter said. He

said that the department will interview all personnel who responded and that

top officials are involved in the review, including Fire Chief Dennis L. Rubin

and Assistant Fire Chief Lawrence Schultz.

" As per protocol, we are conducting a thorough quality assurance case

review, and we will determine whether proper care was provided and if the two

medical events are related, " Rubin said in a written statement.

Lolitha Givens said her son was in the living room Tuesday night when he

yelled out to family members to call 911. He was on his back on the floor and

said he had chest pains and was having trouble breathing.

A firetruck and ambulance from Engine 30 were dispatched to the house at

11:40 p.m., Etter said. The truck, staffed by three firefighters trained in

emergency medicine and a firefighter-A firetruck and ambulance

Lolitha Givens said the firefighters asked her son what was wrong, and the

emergency medical technicians who arrived by ambulance checked his vital signs

and performed an electrocardiogram, the results of which they said were

normal.

The EMTs asked Givens whether he had eaten or had anything to drink that

evening, and he said he had eaten a burger, Givens said. They told him and his

mother that he probably was suffering from acid reflux and suggested he take

antacid.

" Six hours later, my son was on the floor, dead, " Lolitha Givens said.

After the family member found Givens, who was not breathing,

yesterday morning, another 911 call was made.

Improving the city's emergency medical services has been a stated priority

for Mayor M. Fenty (D) and Rubin since the death of Rosenbaum in

January 2006. Rosenbaum, a former New York Times journalist who lived in

upper Northwest, was beaten in a street robbery, but emergency workers assessed

him as a drunk and considered him a low-priority patient. He died two days

later at University Hospital.

A task force chaired by Rubin suggested numerous reforms, which Rubin said

are being implemented.

Givens was a father of two teenagers and worked as a counselor at a group

home for youths who had been victims of domestic violence, his mother said.

He was a graduate of Eastern High School and Wilberforce University in Ohio,

where he majored in business administration.

He coached Little League baseball and youth football and worked with a

basketball team in the Barry Farm neighborhood.

" Sports was his love, " Lolitha Givens said.

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