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Girl's death followed failings at Luton and Dunstable Hospital | Girl's death followed failings at Luton and Dunstable Hospital |
(about 11 hours later) | |
Hospital "failings" led to the death of a six-year-old girl from sepsis, a coroner has recorded. | |
Goda Janulevicuite died in April 2016 after going to the Luton and Dunstable Hospital. | Goda Janulevicuite died in April 2016 after going to the Luton and Dunstable Hospital. |
Ampthill Coroners' Court heard Goda saw her GP, attended an urgent GP centre and was admitted to hospital twice before eventually being treated for severe sepsis. | Ampthill Coroners' Court heard Goda saw her GP, attended an urgent GP centre and was admitted to hospital twice before eventually being treated for severe sepsis. |
By then it was too late and she died shortly after. | By then it was too late and she died shortly after. |
Coroner Martin Oldham said in a narrative verdict a junior doctor who saw Goda on 5 April at the hospital and discharged her without antibiotics for a sepsis was "profoundly misguided". | Coroner Martin Oldham said in a narrative verdict a junior doctor who saw Goda on 5 April at the hospital and discharged her without antibiotics for a sepsis was "profoundly misguided". |
"Had the failings of the 5 April not taken place, Goda may have been around with us today," Mr Oldham said. | "Had the failings of the 5 April not taken place, Goda may have been around with us today," Mr Oldham said. |
The inquest heard Goda, who had chicken pox, was suffering from pain in her back and legs when her parents rang their GP on 4 April 2016. | The inquest heard Goda, who had chicken pox, was suffering from pain in her back and legs when her parents rang their GP on 4 April 2016. |
She went to the urgent GP centre, which said she required treatment for sepsis and Goda was referred to the Luton and Dunstable Hospital on 5 April. | She went to the urgent GP centre, which said she required treatment for sepsis and Goda was referred to the Luton and Dunstable Hospital on 5 April. |
But the doctor who oversaw her care that day did not see the letter from the urgent GP centre doctor and discharged her without antibiotics. | But the doctor who oversaw her care that day did not see the letter from the urgent GP centre doctor and discharged her without antibiotics. |
Hospital consultant Dr Gyergyi Kameras saw Goda on 6 April and started treatment for sepsis right away, but it did not make any difference. | Hospital consultant Dr Gyergyi Kameras saw Goda on 6 April and started treatment for sepsis right away, but it did not make any difference. |
Goda's condition worsened and she died not long after being transferred to Great Ormond Street Hospital. | Goda's condition worsened and she died not long after being transferred to Great Ormond Street Hospital. |
The inquest heard the sepsis infection had probably entered her body through a chicken pox lesion. | The inquest heard the sepsis infection had probably entered her body through a chicken pox lesion. |
Mr Oldham praised the efforts of Dr Kameras. | Mr Oldham praised the efforts of Dr Kameras. |
Hospital chief executive David Carter, giving evidence, agreed that the "death was avoidable" and that "there were missed opportunities". | Hospital chief executive David Carter, giving evidence, agreed that the "death was avoidable" and that "there were missed opportunities". |
He said the death of Goda was a "tragedy". | He said the death of Goda was a "tragedy". |
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