AWARDS AND BOOK SIGNING
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Thursday, June 5 • 7:30 p.m. • Free
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Correspondent for “Outside” magazine and celebrated author of “Gen-Ex: Tales
from the Second Wives Club" and “Motherhood Made a Man Out of Me." Karbo
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Bonnie Dodge, and Susi Klare who will read their winning selections.
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Medication
continued from page 1
emergency room with second-de
gree burns, according to Deputy
Medical Examiner Frank Ratti. The
hospital also wrote a Percocet pre
scription for Guyer, giving him six
pills to take home until he could fill
the prescription.
Deputy Medical Examiner Frank
Ratti said Dilaudid is a typical drug
given to people with serious burns,
adding that the hospital told Guy
er he could take two of the Perco
cet after he went home to help
with the pain.
According to reports, Guyer was
conscious and alert when he left
the hospital with friends to walk
back to his apartment, where he
ingested two Percocet — the rec
ommended dosage — and gave one
to a friend. Ratti said the remain
ing three Percocet have been ac
counted for.
Guyer burned both of his hands
after a flaming drink spilled on him
while he and his friends were at a
bar celebrating Guyer’s upcoming
graduation.
Ratti said Guyer was given the
Dilaudid in small dosages of one
milligram each, with a total of
four milligrams, adding that the
hospital gave both written and
verbal instructions to Guyer be
fore he left the hospital. Ratti said
reports indicate Guyer was drink
ing, but he did not know whether
the hospital checked Guyer’s
blood alcohol level before admin
istering the drug.
Until toxicology reports are
done, Guyer’s blood alcohol level
at the time of his death is un
known. Francis van Veen, a re
tired coroner and forensics
pathologist in Washington, said
Dilaudid is substantially more
powerful than morphine. He said
mixing a drug like Dilaudid with
alcohol can cause serious medical
complications, adding that Dilau
did is not typically used for sec
ond-degree burns.
I00 • 'EO • '2C U0(fllM(Mi
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Multiple Sacred Heart spokespeo
ple said they could not comment on
whether Guyer’s blood alcohol level
was tested before drugs were admin
istered. However, federal Medicare
regulations and interpretive guide
lines require hospitals to provide for
an “appropriate medical screening
examination.”
While Sacred Heart spokespeo
ple also would not comment
on screening procedures, Tom
Hambly, clinical manager of the
emergency department at Spring
field’s McKenzie-Willamette Hos
pital, said a hospital’s first duty
is to solve a patient’s immediate
problems.
“People who have been drinking
and are injured that come to an
emergency department deserve to
have their pain treated, regardless of
their intoxication,” Hambly said.
He said that while McKenzie
Willamette rarely conducts blood al
cohol level tests, patients who show
signs of intoxication are more close
ly monitored.
The federal regulations also re
quire continued monitoring “ac
cording to the patient’s needs.”
Hambly said patients who are
suspected of ingesting alcohol are
usually monitored for four to six
hours and sometimes stay in the
emergency ward overnight, espe
cially if they are given higher doses
of narcotics.
The clinical manager noted that
narcotics administered in an IV are
fairly safe because the drugs have a
short half-life — which means they
quickly leave the patient’s system.
Lori Reader, co-owner of Fath
om’s bar where Guyer was burned,
would not comment about the situ
ation, but she expressed sympathy
for the death.
“We consider this a great loss, and
our condolences go out to the
friends and family,” she said.
Contact the reporter
atalishaughnessy@daiiyemerald.com.
News editors Brook Reinhard and Jan
Montry contributed to this report.
669910
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