Preventable Suicide of University Student Preventable Suicide of University Student Case We were instructed by Mr B arising out of the death of his daughter C who died by suicide in 2022, aged 20. C was studying for a degree when she referred herself to her local Trust’s Wellbeing Service in November 2021. She reported …

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Maternity Unit’s Cost Cutting Exercise Contributed to Stillbirth The Case of a Maternity Unit’s Cost Cutting Exercise Contributed to Stillbirth Miss L was admitted to hospital for an induction of labour at 37 weeks into her pregnancy. A CTG (Cardiotocograph) was started. This is an electronic fetal monitor on a belt that is placed across …

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Artery Transected During Knee Surgery Artery Transected During Knee Surgery Case During the course of surgery to her knee, the surgeon accidentally transected L’s popliteal artery with the saw blade. Despite significant blood loss, it was not until L was in recovery that a popliteal injury was suspected. L was blue lighted by ambulance to …

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Delay in Ambulance Attendance Resulted in Debilitating PTSD Delay in Ambulance Attendance Resulted in Debilitating PTSD Case M was at home alone when she suffered a subarachnoid haemorrhage from a ruptured aneurysm. She was in excruciating pain, vomiting and in and out of consciousness. Despite this, she had the presence of mind and strength to …

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Delay in Diagnosis of Lung Cancer Delay in Diagnosis of Lung Cancer Case K had attended hospital with shortness of breath. A chest x-ray was performed which showed a lesion in the lung and advised further investigation. Unfortunately, this report was not acted upon and K was sent home. 6 months later, he returned to …

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Delayed Diagnosis of Chest Condition Requiring Treatment Case Delayed Diagnosis of Chest Condition Requiring Treatment D had a history of chest problems, having suffered from asthma since the age of 3. Between 2006 and 2008, he was investigated at hospital due to having a cough and recurrent chest infections and was told scans performed showed …

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Hospital Misses Bleed On The Brain Not Once, But Twice Case Hospital Misses Bleed On The Brain Not Once, But Twice! In 2018 Mr K developed a sudden and severe headache with neck pain and nausea. He was taken to hospital via ambulance where he described the pain as 10/10. Mr K was discharged with …

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