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| Boy who died in hospital 'should have been assessed sooner' | |
| (about 14 hours later) | |
| A three-year-old boy with Down's Syndrome was left for hours in A&E instead of being moved quickly to a specialist unit, an inquest has heard. | A three-year-old boy with Down's Syndrome was left for hours in A&E instead of being moved quickly to a specialist unit, an inquest has heard. |
| Krishan Saujani died from bronchial pneumonia at Leicester Royal Infirmary on 8 November 2015. | Krishan Saujani died from bronchial pneumonia at Leicester Royal Infirmary on 8 November 2015. |
| He was originally diagnosed with vomiting and diarrhoea. | He was originally diagnosed with vomiting and diarrhoea. |
| A doctor told Leicester Coroners' Court that he should have moved through the department more quickly, and she apologised at the hearing. | A doctor told Leicester Coroners' Court that he should have moved through the department more quickly, and she apologised at the hearing. |
| Dr Samantha Jones, head of paediatric services, said: "Krishan should have moved through the department within the hour and preferably sooner if possible. | Dr Samantha Jones, head of paediatric services, said: "Krishan should have moved through the department within the hour and preferably sooner if possible. |
| She added: "I just want to say we are as a department terribly, terribly sorry." | She added: "I just want to say we are as a department terribly, terribly sorry." |
| Krishan was seen at about 22:30 GMT on 7 November 2015 by Dr Manish Arora, in the children's intensive care unit of the emergency department, the inquest was told. | Krishan was seen at about 22:30 GMT on 7 November 2015 by Dr Manish Arora, in the children's intensive care unit of the emergency department, the inquest was told. |
| Krishan, who also had a heart condition, had a high heart rate, temperature and "seemed a bit dehydrated", Dr Arora told the court. | Krishan, who also had a heart condition, had a high heart rate, temperature and "seemed a bit dehydrated", Dr Arora told the court. |
| He said he did not think he was critically ill. | He said he did not think he was critically ill. |
| Dr Arora ordered blood tests, gave fluid and his expectation was that Krishan would be moved to the Children's Assessment Unit (CAU) soon, the inquest heard. | Dr Arora ordered blood tests, gave fluid and his expectation was that Krishan would be moved to the Children's Assessment Unit (CAU) soon, the inquest heard. |
| Krishan was transferred to the CAU at about 03:30 GMT. At about 07:00 GMT Krishan stopped breathing and they started resuscitation. | Krishan was transferred to the CAU at about 03:30 GMT. At about 07:00 GMT Krishan stopped breathing and they started resuscitation. |
| Dr Nehal Thanawala, who saw Krishan when he was admitted to the CAU, said: "I was very concerned about him and I certainly wanted him in the children's intensive care unit." | Dr Nehal Thanawala, who saw Krishan when he was admitted to the CAU, said: "I was very concerned about him and I certainly wanted him in the children's intensive care unit." |
| At one point during Dr Thanawala's evidence, a member of Krishan's family stood up and said: "Our kid lost his life in somebody's hands, instead of passing the buck, just don't put us through this..." | At one point during Dr Thanawala's evidence, a member of Krishan's family stood up and said: "Our kid lost his life in somebody's hands, instead of passing the buck, just don't put us through this..." |
| Expert witness Dr Simon Nadel, from St Mary's Hospital in London, said the original diagnosis of vomiting caused by viral gastro-enteritis "clearly in retrospect was not correct". | Expert witness Dr Simon Nadel, from St Mary's Hospital in London, said the original diagnosis of vomiting caused by viral gastro-enteritis "clearly in retrospect was not correct". |
| "There was a failure of communication between the clinical teams looking after Krishan, leading to a lack of ongoing medical involvement," he said. | "There was a failure of communication between the clinical teams looking after Krishan, leading to a lack of ongoing medical involvement," he said. |
| The hearing continues. | The hearing continues. |