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'Failures and neglect' led to woman's sepsis death | |
(about 2 hours later) | |
"Gross failures and neglect" by medical professionals contributed to the death of an aspiring paramedic who died of sepsis, a coroner has said. | "Gross failures and neglect" by medical professionals contributed to the death of an aspiring paramedic who died of sepsis, a coroner has said. |
Jessica Holbrook, 23, died on 14 December 2017 just five days after complaining she had a cold. | Jessica Holbrook, 23, died on 14 December 2017 just five days after complaining she had a cold. |
Despite being seen at a health centre in Barnsley twice on 9 and 13 December she was not given antibiotics until the day before she died. | Despite being seen at a health centre in Barnsley twice on 9 and 13 December she was not given antibiotics until the day before she died. |
Coroner David Urpeth said her death "could and should have been avoided". | Coroner David Urpeth said her death "could and should have been avoided". |
Miss Holbrook's father Leigh, 49, said "The fact that something could and should have been done is the hardest thing to accept. | |
"It would almost have been easier to accept if they had learned that nothing could have been done." | |
During a two-day inquest at Sheffield's Medico Legal Centre, Mr Urpeth heard Miss Holbrook had been born without a pituitary gland. | During a two-day inquest at Sheffield's Medico Legal Centre, Mr Urpeth heard Miss Holbrook had been born without a pituitary gland. |
The hearing was told as a result she was more susceptible to infection and took steroids to combat the issue. | The hearing was told as a result she was more susceptible to infection and took steroids to combat the issue. |
However, the nurse who saw Miss Holbrook at the i-Heart Centre, Patricia Cusworth, said she "probably didn't give it the consideration required" on 9 December and in hindsight should have given her a deferred prescription of antibiotics during the first examination. | However, the nurse who saw Miss Holbrook at the i-Heart Centre, Patricia Cusworth, said she "probably didn't give it the consideration required" on 9 December and in hindsight should have given her a deferred prescription of antibiotics during the first examination. |
Dr Munir, a Endocrinology Consultant at Sheffield Teaching Hospitals NHS Foundation Trust, said had Miss Holbrook been given antibiotics after the first examination it is "probable" she would have survived. | Dr Munir, a Endocrinology Consultant at Sheffield Teaching Hospitals NHS Foundation Trust, said had Miss Holbrook been given antibiotics after the first examination it is "probable" she would have survived. |
'Let down' | |
Recording a narrative verdict, Mr Urpeth said "Jessica's condition was contributed to by neglect. | Recording a narrative verdict, Mr Urpeth said "Jessica's condition was contributed to by neglect. |
"Any competent medical practitioner should have know that a patient on lifelong hydrocortisone injections required more help. I am entirely satisfied that the failures made were gross failures." | "Any competent medical practitioner should have know that a patient on lifelong hydrocortisone injections required more help. I am entirely satisfied that the failures made were gross failures." |
Mr Urpeth said there were "not just one, but two opportunities to issue treatment, which would have prevented her death". | Mr Urpeth said there were "not just one, but two opportunities to issue treatment, which would have prevented her death". |
"She was let down by the medical professionals who should have been there to help her," he added. | "She was let down by the medical professionals who should have been there to help her," he added. |
Miss Holbrook, from Brierley, worked for Yorkshire Ambulance Service organising routine ambulance appointments but had hopes of becoming a paramedic. | Miss Holbrook, from Brierley, worked for Yorkshire Ambulance Service organising routine ambulance appointments but had hopes of becoming a paramedic. |
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