Jason, I am so sorry for the loss of your mother unexpectedly. From what you've told me, it sounds as though she was still drinking although she obviously had end-stage liver disease. It also sounds as though she didn't have any previous treatment for her high ammonia or the liver disease. If this is the situation, I doubt that anything they could do at that point would've made any difference. Yes, sometimes people come through and live longer than expected, but they have been fighting the disease and getting various treatments (Lactulose for high ammonia levels, special diet with elimination of red meat, paracentesis (draining of the fluid in the belly), etc., for some time. I have never heard of anyone as far gone as your mom apparently was be treated and do a complete turnaround. There comes a point of no return. While every individual's case is different, it doesn't sound like she was getting proper medical attention, eating nutritious food, or getting help with her alcohol problem prior to the trip to the ER.
Do you know if she had a DNR order? If so, they could not have performed any extraordinary measures to keep her alive.
It is very natural for you to be angry and try to place blame somewhere, but I will tell you that if her condition was caused by alcoholism and she had not tried to stop drinking or to seek medical treatment for her deteriorating condition, the ER docs are not likely to be jumping through hoops for her. Until you get those reports, you won't know exactly what they did, though.
I hope that you can feel better in the knowledge that your mom is no longer suffering and is finally at peace.
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"But that was yesterday, and I was a different person then."
Lewis Carroll, Alice in Wonderland