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Conrad Murray's care of Jackson unethical, expert testifies

October 12, 2011 |  3:40 pm

Conrad Murray in court Oct 12 2011
Dr. Conrad Murray’s care for Michael Jackson leading up to his death was so inadequate that it violated the Hippocratic oath and fundamental ethics all doctors swear by, an expert reviewer for the Medical Board of California told jurors Wednesday.

Nader Kamangar, a physician specializing in pulmonary critical care and sleep medicine, said at Murray's involuntary manslaughter trial that administering the potent anesthetic propofol outside a hospital setting was “inconceivable.”

Kamangar concluded in a report for the medical board that Murray’s conduct involved several extreme deviations from the appropriate standard of care.

“It’s imperative for the physician to be observing the patient at all times; this is just the basics of medicine,” said Kamangar, an associate professor and a physician for UCLA. “In this case it was clear there was a period of time when Mr. Jackson was basically left alone and was not being monitored. That in somebody that is receiving sedation is really not acceptable.”

Kamangar echoed the opinions of a cardiologist who testified earlier in the day that Murray’s delay in  calling 911 and ineffective CPR were egregious violations that harmed his patient.

He also said the first thing the doctor should have done was not chest compressions -- given that Jackson still had a pulse -- but trying to help Jackson breath.

“When a patient is found out of the hospital in cardiopulmonary arrest ... the first rule of thumb in basic life support is to call for help,” he said.

Kamangar said the CPR that Murray performed -- on a soft surface with one hand -- could have been a “disservice” to his patient.

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-- Victoria Kim at Los Angeles County Superior Court

Photo: Dr. Conrad Murray in court Wednesday. Credit: Robyn Beck / Pool photo

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