Millie Creasy

1. 1. discharged home after seizure without adequate monitoring

   “[the deceased] was admitted to the Luton & Dunstable Hospital on 31 July 2018 at 14.42 hours having suffered a prolonged seizure of approximately 30 minutes which paramedics described as decorticate. She was subsequently discharged at 20.40 hours for with an appointment for review the following day (regular neurological observations had ceased after 2 hours)”

2. 2. lack of prescriptive guidance for raised ICP management

   “Whilst my factual findings recognised that any earlier treatment for raised ICP may not have altered the outcome, and that a diagnosis of raised ICP or the risk of raised ICP is a clinical one, I was informed that it was not possible for the Luton & Dunstable NHS Trust to be more prescriptive in terms of clinical treatment in cases where a child presents with a history of prolonged seizure and that, in any event,”

3. 3. missed opportunity for neuroprotective intervention

   “During the Inquest, I heard evidence from , Paediatric Intensivist, at St Mary's Hospital, London. Both the Pathologist and agreed that an prolonged seizure can cause a hypoxic brain injury that may not become clinically apparent for hours or even days. also explained that if [the deceased]'s condition had been identified at the stage of 'peri-herniation', she would have received neuroprotective procedures which would have improved her chances of survival; I have since been provided with a copy of the”

No published response was found on judiciary.uk.