Expert testimony from cardiologist Dr Alon Steinberg in the involuntary manslaughter of Michael Jackson case against Dr Conrad Murray is damning, saying Dr Murray failed the star in 6 major ways:
- there is no medical precedent for the use of Propofol to treat chronic insomnia
- propofol, a powerful hospital anaesthetic, should not be used in a home without the proper equipment, medical personnel or back-up
- did not make sufficient preparations in case of an emergency
- inappropriate and inexpert use of CPR
- failing to call for help in a timely fashion
- failed to keep any medical records to help during the emergency
“All these extreme deviations, giving Propofol in the wrong setting without proper equipment or personnel, not making proper preparations, not calling 911 in a timely manner, not keeping records, all directly impacted on Mr Jackson’s life,” said the cardiologist.
‘He was definitely savable at that point. There was a delay in calling 911. If they had got there six minutes later Mr Jackson would still be alive,’ said the cardiologist.
‘He had a heart pressure and the heart was getting excited and there wasn’t enough oxygen. If he had all the help and equipment that he didn’t have, Dr Murray could probably have saved Mr Jackson at that point.
‘He should never have started chest compressions. He should have called 911. Obviously, waiting didn’t work.
‘If you put all these things together, yes, he’s responsible.’
He added that Murray’s use of Propofol was ‘unethical and untested.’Read more: http://www.dailymail.co.uk/news/article-2048410/Michael-Jackson-trial-He-alive-Conrad-Murray-called-911.html#ixzz1abn2dM7P
This is a sad endictment of Dr Murray who obviously felt the immense pressure to treat the star who likely pestered the specialist over some time before he would have reluctantly agreed to the use of propofol, inappropriate as it was. Also, the use of external cardiac compression on an unconscious patient with a pulse, in the heat of the moment, is forgiveable and in all likelihood not detrimental. Performing CPR on a soft bed is clearly not ideal but of-course on-bed CPR occurs on a daily basis in hospitals, albeit on beds with less give/recoil than that on a bed at someone’s home.
The difficulty I have is the use of propofol, its use in an out-of-hospital setting, and its use without all the emergency medical equipment being available. And of-course in his moment of panic but none less serious is the failure to call for help immediately.