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Sheriff rules pregnant woman Caroline McCall should have seen consultant | Sheriff rules pregnant woman Caroline McCall should have seen consultant |
(about 20 hours later) | |
A sheriff has ruled the death of a pregnant woman might have been avoided if she had been seen by a consultant after she was admitted to hospital with chest pains. | A sheriff has ruled the death of a pregnant woman might have been avoided if she had been seen by a consultant after she was admitted to hospital with chest pains. |
Following a fatal accident inquiry, the sheriff said 38-year-old Caroline McCall received "substandard care". | Following a fatal accident inquiry, the sheriff said 38-year-old Caroline McCall received "substandard care". |
Ms McCall died at the Princess Royal Maternity in Glasgow in November 2008. | Ms McCall died at the Princess Royal Maternity in Glasgow in November 2008. |
NHS Greater Glasgow and Clyde said it would examine the sheriff's determination in detail. | NHS Greater Glasgow and Clyde said it would examine the sheriff's determination in detail. |
Ms McCall had been eight months pregnant when she felt a stabbing pain in her chest, which she thought was a heart attack. | Ms McCall had been eight months pregnant when she felt a stabbing pain in her chest, which she thought was a heart attack. |
She was taken to the Princess Royal Maternity Hospital in Glasgow, where she died 41 hours later. | She was taken to the Princess Royal Maternity Hospital in Glasgow, where she died 41 hours later. |
During her time in hospital Ms McCall was seen by a number of doctors and medical professionals but she never saw a consultant, which Sheriff Daniel Scullion said amounted to substandard treatment. | During her time in hospital Ms McCall was seen by a number of doctors and medical professionals but she never saw a consultant, which Sheriff Daniel Scullion said amounted to substandard treatment. |
His determination said her death might have been avoided if she had been seen by a consultant obstetrician at her admission, during the morning round the next day or on her admission to the High Dependency Unit on the evening of the second day. | His determination said her death might have been avoided if she had been seen by a consultant obstetrician at her admission, during the morning round the next day or on her admission to the High Dependency Unit on the evening of the second day. |
The sheriff also determined that the inclusion of a cardiac cause in the differential diagnosis made of her illness could have prevented her death. | The sheriff also determined that the inclusion of a cardiac cause in the differential diagnosis made of her illness could have prevented her death. |
There is now a guideline that a consultant should see a new patient within 12 hours of admission. | There is now a guideline that a consultant should see a new patient within 12 hours of admission. |
A report into the death said the consultant was not informed of Ms McCall's admission and should have been. | A report into the death said the consultant was not informed of Ms McCall's admission and should have been. |
An expert told the fatal accident inquiry that if she had been diagnosed on arrival with the heart condition from which she was suffering, she would have had an 80% chance of survival. | |
Her daughter Grace, who was born by emergency Caesarean section 45 minutes before her mother died, is now five years old. | Her daughter Grace, who was born by emergency Caesarean section 45 minutes before her mother died, is now five years old. |
Ms McCall's partner Alan Muir, who is pursuing a civil court case against the health board, told BBC Scotland that no-one was listening to Ms McCall. | Ms McCall's partner Alan Muir, who is pursuing a civil court case against the health board, told BBC Scotland that no-one was listening to Ms McCall. |
He said that the doctors had originally insisted she had heartburn and gave her Gaviscon. | He said that the doctors had originally insisted she had heartburn and gave her Gaviscon. |
Mr Muir said: "The crux of the problem is she never saw anyone senior. | Mr Muir said: "The crux of the problem is she never saw anyone senior. |
"She had an aortic dissection, that was what killed her. It is a rare condition and a junior doctor does not have the experience to recognise things like that. | "She had an aortic dissection, that was what killed her. It is a rare condition and a junior doctor does not have the experience to recognise things like that. |
"A senior doctor or consultant would have the experience - not necessarily to diagnose it - but to think it could be that." | "A senior doctor or consultant would have the experience - not necessarily to diagnose it - but to think it could be that." |
A statement from NHS Greater Glasgow and Clyde said: "NHS Greater Glasgow and Clyde would like to reiterate its deepest condolences to this patient's family for their loss. | A statement from NHS Greater Glasgow and Clyde said: "NHS Greater Glasgow and Clyde would like to reiterate its deepest condolences to this patient's family for their loss. |
"We have only just received the sheriff's determination. We will examine the determination in detail including any recommendations." | "We have only just received the sheriff's determination. We will examine the determination in detail including any recommendations." |
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