For the record
CPR in clinics
rovince of Quebec Coroner Catherine Rudel-Tessier has urged the
erritorialism, delay and poor com- Collège des médecins du Québec to revise its regulations for private
munication plagued Canada’s re- health care clinics to ensure that all physicians and nurses working
sponse to the listeriosis outbreak in such facilities are trained in cardiopulmonary resuscitation and that such
that killed 22 people in 2008, says On- facilities are equipped with defibrillators.
tario Chief Medical Officer of Health Rudel-Tessier’s recommendations emerged from a review of the death of
Dr. David Williams. Jean-Jacques Sauvageau from a pulmonary embolism suffered in the waiting
The Canadian Food Inspection room of the Clinique Médicale
Agency waited nearly a month to inform Viau in St. Léonard, Quebec,
health officials that contaminated ready- on Jan. 11, 2008. Witnesses
to-eat meats were being distributed to testified Sauvageau arrived at
grocery stories — a dangerous delay in the clinic in severe respiratory
issuing a product recall, Williams stated distress and was dispatched to
in his Report on the Management of the the waiting room, where he
2008 Listeriosis Outbreak in Ontario eventually slumped over and
(www.health.gov.on.ca/english/public his dentures fell to the floor.
/pub/disease/listeria/listeriosis_outbreak The doctor on duty, Dr.
_rep.pdf). Jacques Chaoulli, took
Williams’ report, along with sepa- Sauvageau’s pulse but made
rate “Lessons Learned” reports simulta- no effort to resuscitate him.
neously released by the Canadian Food Chaoulli left the waiting room
Inspection Agency, The Public Health and instructed his nurse to call
Inspection Agency of Canada, and 911 to have the body removed.
Health Canada combine to create an Audio tapes of 911 calls
impression that oversight of food safety presented at the hearing indi- Quebec’s coroner would like health care
in Canada was largely haphazard at the cated that an Urgences Santé clinic staff to be trained in cardiopul-
monary resuscitation, here being per-
time of the outbreak. official urged both Chaoulli formed on a dummy.
The agencies and department state and a nurse to do heart com-
in their postmortems, though, that pressions. But they responded
they have introduced new policies