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среда, 30 января 2019 г.

«Breaking News» Mother slams hospital as coroner rules neglect led to her 15-month-old daughter's sepsis death

Neglect by medical staff contributed to the death of a toddler who was sent home from hospital with Calpol after doctors failed to recognise she had sepsis.


Fifteen-month-old Evie Crandle died on April 16 last year, two days after her parents Samantha McNeice and Phil Crandle took her to Whiston Hospital, Merseyside.


Ms McNeice even told staff she feared her little girl had a blood infection, but a series of failures by staff meant the family were packed off home with medicine they could have bought at a supermarket.


When they returned two hours later, with Evie's condition deteriorating, they had to wait another eight hours for their daughter to finally get the antibiotics which could have saved her life.


Evie's mother slammed the hospital's failures today after a coroner found neglect had contributed to her death.  


Ms McNeice told the BBC: 'Although it was a relief that someone's listening to you finally, and they've understood what happened wasn't right, it was not nice to hear that she was so badly neglected.' 




Samantha McNeice and Phil Crandle have slammed a Merseyside hospital after their daughter Evie died from sepsis two days after she was sent home with Calpol


Samantha McNeice and Phil Crandle have slammed a Merseyside hospital after their daughter Evie died from sepsis two days after she was sent home with Calpol



Samantha McNeice and Phil Crandle have slammed a Merseyside hospital after their daughter Evie died from sepsis two days after she was sent home with Calpol





Evie died despite her parents specifically raising their fears about sepsis to hospital staff 


Evie died despite her parents specifically raising their fears about sepsis to hospital staff 


Evie died despite her parents specifically raising their fears about sepsis to hospital staff 



Assistant coroner Julie Goulding ruled: 'If intravenous antibiotics has been given earlier, on balance, it was likely to have made a difference to the outcome.' 


Earlier this week, Mr Crandle and Ms McNeice told an inquest how their 'beautiful' baby girl had been 'let down in the worst possible way' by medical staff. 


Ms McNeice told Liverpool Coroner's Court: 'Our lives were built around Evie. She was the centre of our universe. We have lost our daughter and have to face the fact we knew what was wrong with her.

'We took her to hospital straight away and asked over and over about sepsis. I remember saying 'are you sure this isn't sepsis?'


'I was petrified but stupidly allowed myself to take comfort from the fact that a medical professional was telling me 'it could be but it's most likely a urine infection'.


'I feel like I failed Evie in the worst possible way. We put all our trust in the medical staff and thought there was no way they would let our beautiful 15-month-old down.'





Her devastated parents said of the youngster: 'She was the centre of our universe'


Her devastated parents said of the youngster: 'She was the centre of our universe'






Her devastated parents said of the youngster: 'She was the centre of our universe'


Her devastated parents said of the youngster: 'She was the centre of our universe'



Her devastated parents said of the youngster: 'She was the centre of our universe'




The missed chances to save little Evie 



11.30am, April 14 - Evie is brought to Whiston hospital. The coroner found that staff should have been alerted to the possibility of sepsis due to her high temperature and fast heart rate. She should have been placed on the 'sepsis pathway' and administered fluids and antibiotics.


4.30pm - Instead of being treated, Evie was sent home after being given medicine to reduce her temperature. 


6.30pm - Evie's parents brought her back to Whiston hospita again because she was not getting better. She now had a heart rate of around 169, which should have led to a review of her condition, a blood test and antibiotics, but instead her parents were again left waiting.


9.30pm - A  doctor at Whiston administered an antibiotic cream, but Evie was not seen again by a doctor for another two hours.


2.45pm - More than 15 hours after Evie were first brought in, she is finally given her first full dose of antibiotics. 


April 16 - Evie tragically dies after being  transferred to Alder Hey Children's Hospital.




Summarising the failures today, the coroner said: 'There had been a failure at the time to recognise how ill Evie was, a failure to complete the sepsis assessment tool and to place Evie on the sepsis pathway (twice) or for a senior doctor to say why it was appropriate to deviate from the pathway.


'There were also failures to initiate appropriate treatment in a timely manner, to undertake appropriate observations of vital signs, to communicate effectively between staff and to complete fundamental documentation.


'There were delays and failures to summon appropriate senior and consultant level assistance in a timely manner in addition to which Evie's mother asked doctors if Evie could have sepsis, one of those times being at about 00.30 hrs on 15/04/2018 and at the time the doctors did not think it was, the working diagnosis being that of infection.


'Insufficient notice was taken of Evie's parents, not only did mum ask explicitly whether Evie could have sepsis but both parents expressed their concerns about her changed behaviour and how different she was from her usual bright, playful self.' 


The inquest has heard how the couple took their usually 'playful' daughter Evie to the hospital after she had been vomiting, had blue lips, cold hands and feet and a temperature of 39.9C.


Two paediatric nurses who saw Evie - Kay Archer and Penny Hartley - both told the court how they had 'forgotten' to fill in sepsis documentation following their observations and had since had more training. 




The NHS trust in charge of Whiston Hospital has apologised to the family after today's ruling


The NHS trust in charge of Whiston Hospital has apologised to the family after today's ruling



The NHS trust in charge of Whiston Hospital has apologised to the family after today's ruling



A report into the death found there was a delay in medical assessment of Evie, who was only seen more than three hours after she was seen in triage by Mrs Archer.


Further failings in recording observations, escalating her case to a senior doctor, communication between staff, administering antibiotics and carrying out blood tests were also outlined.


The court heard how the potentially life saving sepsis tool was only half filled in by Mrs Archer and not at all by Mrs Hartley.


This meant that when Dr Jennifer Hale saw Evie before she was discharged, she only had Mrs Hartley's notes which had no suggestion of sepsis.


Dr Hale told the court 'I didn't feel that she presented as a septic child, she was alert, drinking and interacting with her parents'.


St Helens and Knowsley Teaching Hospitals NHS Trust apologised to Evie's parents today. 


In a statement, the trust said: 'When Evie first attended A&E it was not anticipated that her condition would deteriorate so seriously.


'Sepsis is a rare and difficult condition to diagnose with symptoms similar to those of many childhood illnesses. Action plans have been implemented to ensure lessons have been learned.' 








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https://hienalouca.com/2019/01/30/mother-slams-hospital-as-coroner-rules-neglect-led-to-her-15-month-old-daughters-sepsis-death/
Main photo article Neglect by medical staff contributed to the death of a toddler who was sent home from hospital with Calpol after doctors failed to recognise she had sepsis.
Fifteen-month-old Evie Crandle died on April 16 last year, two days after her parents Samantha McNeice and Phil Crandle took her to Whiston...


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Dianne Reeves Online news HienaLouca





https://i.dailymail.co.uk/1s/2019/01/30/16/9095470-6649335-Evie_Crandle_pictured_died_on_April_16_last_year_two_days_after_-a-60_1548865348411.jpg

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