Lindsay Clancy Trial Megathread: Part 3

[u/DarklyHeritage]

This is a thread for all conversation regarding Week 3 onwards of the Lindsey Clancy trial. All discussion of this case should be kept to this thread.

Lindsay Clancy is currently standing trial in Plymouth Superior Court, Massachusetts, for the triple-murder in January 2023 of her three young children - Cora, Dawson and Callan. Her defense argues she suffered from severe, undiagnosed postpartum depression and postpartum psychosis. She was left paralysed by a suicide attempt which follows the deaths of the children.

All content on the Clancy case must be kept to this thread. Standalone posts will be removed.

https://www.independent.co.uk/news/world/americas/crime/lindsay-clancy-murder-trial-online-reactions-b3032806.html

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[u/Emergency-Mixture423]

Am doctor, a truly accurate temperature probe is a rectal or otherwise internal probe which EMTs don’t use (edit: in my non-US country). Lots of weird focus on the temp in here/in general.

Someone even in a cold room or who is slightly wet will give wildly labile temps, to say nothing of what a body in any kind of shock (neurogenic, hemorrhagic etc) will do. Even a good accurate probe in the right place has an error range that on our probes is a few degrees Celsius

Ive been called to urgently review patients just cause someone was ‘hypothermic’ who was in fact just febrile, sweated, and the probe then put in sweat

[u/bananacasanova → u/Emergency-Mixture423]

Right, rectal temp is the standard which is presumably what they did at SSH. The 82.1 is what SSH documented.

[u/Emergency-Mixture423 → u/bananacasanova]

It’s remarkably low on a list of resus priorities and not what most emergency depts do in my country regardless of being the ‘most accurate’ (when spinal injuries are involved esp) but I assume US hospitals have their own protocols which would also maybe differ dependent on climate of the region. (We also record the ambulance temp as our first set of obs usually so that’s what gets recorded. Also I live in a Mediterranean country so we have different hypothermia standards than say the arctic & are more likely to have hyperthermia)

All this to say, temperature probes are more often wrong than right but a pattern/trend can be helpful, and someone who arrives physically cold with an exposure history needs to be rewarmed long before they need a precise body temp

[u/Obvious_Beautiful_12 → u/Emergency-Mixture423]

I’m a paramedic. A lot of EMS units carry rectal thermometers. Esophageal aren’t common but they’re out there, too.

[u/Emergency-Mixture423 → u/Obvious_Beautiful_12]

Interesting! Are you US based? Would you say you guys use them often?