Seven Minutes Too Late: The Deadly Risk of Prone Restraints
Update: 2025-12-31
Description
This episode reviews a malpractice case where a psychiatric patient boarded in an ED for over 24 hours was restrained in a prone position, sedated, and left unmonitored, resulting in cardiac arrest and severe brain injury.
Hosts discuss failures in monitoring, documentation, restraint policies, and the broader problem of psychiatric boarding, plus lessons for clinicians to prevent similar outcomes.
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