Fern-Marie Choya

“The London Ambulance Service (LAS) emergency operations centre (EOC) made a pre hospital alert telephone call to the Whittington Hospital emergency department, regarding: the expected arrival eight minutes later of a patient in respiratory arrest. This was good practice. However, they failed to include in that alert the information that Ms [name redacted] was pregnant. This was a crucial detail, which had been passed to the LAS at the very outset by her husband, and then again to the EOC by the emergency”

“On arrival at the Whittington Hospital, the detail of the pregnancy was not communicated effectively. It is unclear whether the LAS crew did not mention the fact, or whether the emergency staff simply did not hear it. In any event, it took 16 minutes post arrival for the pregnancy to be recognised and the obstetric team to be called. . Without the obstetric team, the emergency department team focus was on the potential for a pulmonary embolism, and alteplase was given. Only later was a”

“The medical cause of Ms [name redacted] death was: 14a _ hypovolaemic shock due to massive intra abdominal bleeding (emergency laparotomy on 25.02.19) 1b -_ rupture of the abnormal gravid uterus 2 monochorionic diamniotic pregnancy (18/40)”