Although 16-month-old Nicholas Cox’s more than month-long hospitalization at the Georgetown Public Hospital Corporation (GPHC) was marred with controversial reports from some sections of the media, the hospital yesterday sought to clear the air.In a detailed statement, the hospital pointed out that although the infant was injected with Gravol at the onset of treatment, there is no way that the medication could have caused him to stop breathing.It was explained that on May 30, last, the child was brought to the Accident and Emergency (A&E) Department of the hospital by his mother who disclosed that he was suffering from worrisome bouts of vomiting and diarrhea.According to the hospital’s statement, the concerned mother also related that her son had two days earlier developed a mild fever and was very irritable. He was previously treated at the Woodlands Hospital and was being administered suspension Kaolin,Jerseys NFL Wholesale, liquid Gravol and daily injections of the antibiotic Rocephin, the GPHC statement said.During triage at the public hospital,Adidas Mike Fisher Jersey, medical personnel observed that the child was also dehydrated and at 11:15 hours he was seen by the A&E doctor on duty who ordered three boluses of normal saline (180 mls each), flagyl injection (250 mg) and gravol injection (3 mg iv). These were all administered, the statement outlined.However, less than two hours later, the doctor was alerted by the child’s mother to the fact that he had “suddenly just stiffened out and stopped breathing.”Moreover, the attending doctor activated an emergency response after confirming unresponsiveness and full resuscitation commenced. The patient,Wholesale Jerseys USA, according to the statement, was in cardiopulmonary arrest with pulseless electrical activity.? As such Advanced CPR, six rounds of epinephrine and one dose of sodium bicarbonate were administered before a perfusing rhythm was achieved within half an hour.By this time, the statement said, “The patient was intubated, with blood-tinged secretions evident, a nasal gastric tube was passed with blood-tinged returns and foleys were passed with blood-tinged urine returned. He subsequently developed a generalised tonic clonic seizure during return of systemic circulation.”According to the hospital, the child was reviewed by Intensive Care Unit (ICU) and Paediatric staffers who recommended he be admitted to ICU. He was subsequently transferred to ICU in a critical state with a working diagnosis of post arrest from severe dehydration secondary to gastroenteritis to rule out hemolytic uremic syndrome and neurosepsis.“Investigations were taken off and management appropriate to the differential initiated. He was on ventilator support for six days during which time his condition remained critical but with slow guarded improvement,” added the statement.Although feeds were slowly initiated and stools were initially diarrheal in nature, it was noted that on day four, post admission, the child had signs of digested blood (melena) and a further complication of upper gastrointestinal bleeding was added to the list of his complications. However, by this time initial laboratory tests were all returned in fairly normal ranges including negative blood, urine and stool cultures. The statement also stated that Dengue and Typhoid serologies were negative and coagulation studies were found to be normal.Further, the child’s condition was reviewed by Paediatric Surgery to assess the upper Gastrointestinal bleeding and imaging studies including x-rays, ultrasounds and CT-Scans were done, none of which definitively identified the cause of the bleeding.“On day seven he was extubated and on day 10 (9th June 2013) transferred to the Paediatric ward,Cheap Jerseys China, still very ill with ongoing internal bleeding of varying amounts each day,” outlined the statement, which noted that the child was found to be poorly responsive and spastic. Physiotherapy was introduced to address the child’s spasticity and the long term bed stay.Though aided by antibiotics and other supportive care, the child’s recovery and rehabilitation was noticeably slow.? There were also concerns about visual perception which led to a review by an ophthalmologist, who concluded that follow-up was needed to yield conclusive diagnosis.For almost two weeks, the child continued to have ongoing upper gastrointestinal bleeding of unknown etiology and an endoscopic examination yielded no conclusive source of the bleed, the hospital statement indicated.“However with ongoing medical supportive care,Wholesale Jerseys From China, the bleeding finally subsided and Nicholas has been free of any ble