Prep for murder 1

The use of Dexamethasone is strongly advised against in the case of traumatic head injury. "Corticosteroids increased short and long-term mortality in adults with traumatic head injury".--------------------- However, if the patient is not accustomed to morphine, this drug enhances the effects of the morphine. Melissa was taken off morphine straight after surgery so she would not get tolerant of small doses. Prior to being denied morphine, she was on 20 micrograms/kg/h. The Dexamethasone was given to her a few hours before her morphine overdose. The overdose rate was 2 milligrams! This is 100x the rate of the previous dose at the time of surgery for therapeutic purpose.------------------------------------------- As can be seen in the first picture Dr Tavey Dorofaeef, paediatric registrar, changed his mind about leaving a paper trail as he went to put the date in. It would totally seem he realised the death certificate would have time of death on it at this stage, and decided not to record the time for the lethal dose. However, the effect is clearly seen in Melissa's vitals graph.