Bernardo de Lima Mendes died after being stung by a scorpion in Conchal (SP) Social Media The death of Bernardo de Lima Mendes, aged 3, after being stung by a scorpion in March this year in Conchal (SP), had repercussions after the Civil Police indicted the doctor Augusto Fortunato de Godoi for culpable homicide - when there is no intention to kill. According to the investigation, delegate Luís Henrique Lima Pereira, responsible for the investigation, identified that the protocols for caring for the child were not followed by the doctor. Augusto's defense reported that there is "complete certainty of his innocence". (See positioning below). The police also requested a precautionary measure prohibiting the doctor from working as a doctor on duty and in urgent and emergency services, such as hospitals and Emergency Care Units (UPAs), until further court decision. The investigation and request will still be analyzed by the Public Ministry and the Courts. In testimony, the doctor stated that he did not know of protocols for scorpion stings in children up to 10 years old. g1 gathered 6 points that appear in the justification for the police indictment: Did not immediately transfer the child to a reference hospital Failure to comply with technical protocols for accidents with scorpions in children Delay in starting transfer procedures Conditioned the removal to regulation via Cross Did not adopt faster measures to obtain specific treatment Follow-up considered insufficient and treatment only symptomatic ? Follow g1 São Carlos and Araraquara on Instagram 1. Did not immediately transfer the child to a reference hospital Hospital and Madre Vannini Maternity Hospital, in Conchal (SP) Reproduction Google Street View The police investigation cites that the closest reference hospital to Conchal was Santa Casa de Araras, but that, in the absence of the serum at the institution, Capivari, Itirapina, Leme, Limeira, Piracicaba, Pirassununga, Rio Claro and São Pedro have the antiscorpion serum. "However, it appears that the doctor responsible for treating the victim, Dr. Augusto, contrary to the technical regulations widely recognized in the medical literature, in the protocols of the hospital where he works and in the protocols of the Ministry of Health, chose to keep the child under observation in the local unit, without arranging for his immediate transfer to a reference hospital.", highlighted the document.
Death of boy stung by scorpion: see 6 points that led police to indict doctor for murder in the interior of SP
Bernardo de Lima Mendes died after being stung by a scorpion in Conchal (SP) Social Media The death of Bernardo de Lima Mendes, aged 3, after being stung by a scorpion in March this year in Conchal (SP), had repercussions after the Civil...
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Augusto's defense reported that there is "complete certainty of his innocence". The police also requested a precautionary measure prohibiting the doctor from working as a doctor on duty and in urgent and emergency services, such as hospitals and Emergency Care Units (UPAs), until further court decision.
- The investigation and request will still be analyzed by the Public Ministry and the Courts.
- In testimony, the doctor stated that he did not know of protocols for scorpion stings in children up to 10 years old.
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2. Non-compliance with technical protocols for scorpion accidents in children The Civil Police requested technical information about the care protocol in cases of scorpionism, especially involving children, from the Toxicological Information and Assistance Center (CIATox) of Campinas and the Epidemiological Surveillance of the State of São Paulo. According to the survey, CIATox clarified that the antiscorpion serum is not available in all hospital units, being concentrated in previously defined strategic points. However, logistical limitations do not authorize the postponement of appropriate treatment. "Because the protocol establishes that, in the absence of serum in the initial care unit, the patient must be clinically stabilized and immediately transferred to a reference unit that offers serum therapy", the document pointed out. The Epidemiological Surveillance report emphasized that "children, as they constitute a higher risk group, must be transferred immediately, even in the absence of initial clinical manifestations, considering the possibility of rapid evolution of the condition". Bernardo de Lima Mendes died after being stung by a scorpion in Conchal (SP) Social Networks 3. Delay in starting transfer procedures According to the investigation, the documentation indicates that the victim was admitted to Madre Vanini Hospital at 8:08 pm, while formal contact with the Health Services Offering Regulation Center (Cross) was at 9:59 pm, more than two hours after the scorpion accident. The expert from the Legal Medical Institute (IML) stated that there was a failure to observe the specific protocols applied to children who were victims of scorpion stings and pointed out the delay in adopting measures aimed at transferring the child. "In addition to not carrying out the initial immediate removal, nor with the worsening of the clinical condition through calling the Samu to a strategic point, contact was made with the Cross System formally, only at 9:59 pm, that is, more than two hours after the scorpion accident", he added. 4. Conditioning the removal to regulation via Cross CIATox told the police that the transfer to the reference unit that has serum must occur without delay, precisely because time is a determining factor for the prognosis, especially in pediatric patients. Epidemiological Surveillance highlighted to the police that transfer is mandatory, without bureaucratic restrictions that could delay the start of serum therapy. "It was clear that, even after the condition worsened, the doctor Augusto, who led the child's care, conditioned the child's removal on the availability of a place through the Cross system, a measure which, in urgent and emergency cases such as the present, is dispensable ('zero space'), and the principle of absolute priority to the patient's life and health must prevail", highlighted the delegate in the investigation. Bernardo de Lima Mendes died after being stung by a scorpion in Conchal (SP) Social networks 5. It did not adopt faster measures to obtain specific treatment "The undue dependence on this bureaucratic procedure caused, in addition to keeping the child under observation, an additional delay in the transfer, prolonging the time the victim was exposed to a critical clinical condition without adequate treatment", argued the delegate. The delegate explained that Augusto could have requested an ambulance from the Emergency Medical Care Service (Samu) with medicine and a doctor on board, according to the IML's opinion. "But again such proof