Paediatric mismanagement

Ajm (By Her Litigation Friend Rm) V Bath & North East Somerset Primary Care Trust (Formerly Bath & West Community Nhs Trust)
A.L.M & L.S.M –v- Royal United Hospital Bath NHS Trust
CLS–v- Royal United Hospital Bath NHS Trust
R(a child)-v-Bath & West Wiltshire

 

Ajm (By Her Litigation Friend Rm) V Bath & North East Somerset Primary Care Trust (Formerly Bath & West Community Nhs Trust)

Paediatrician Negligence – Dysplastic Dislocation Of The Hip – Failure To Adequately Assess And Recognise Congenital Hip Dislocation – Adverse Long Term Sequelae For Child

The infant Claimant AJM (born 17th January 1996) was at all material times in the medical care of the Defendant. The Infant was born in a breech position. The Midwife noted “hips √√”. Two days later she was reviewed by Dr H, Paediatric SHO, who made no note of a hip examination.

Following discharge, AJM was examined by a Community Midwife, but, despite the fact that the mother was concerned about the way the child’s leg hung out of the cot, the Health Visitor assured her that there was no problem. The General Practitioner on the six week check purported to carry out an Ortolani-Barlow examination and found nothing abnormal. At the 9 month check, the General Practitioner again marked that the hips were “satisfactory”. Given the subsequent history, this must have been inaccurate.

By 3rd February 1997, the Health Visitor noted that the child was still “crawling, pulls to stand, will stand unsupported briefly”. Again, there was no examination of the hips recorded.

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A.L.M & L.S.M –v- Royal United Hospital Bath NHS Trust

The infant Claimant ALM (born 05.03.1994) was admitted to the Defendant Trust Hospital in Bath for a routine hypospadias repair on Tuesday 6th August 1996.

He was discharged on the evening of Wednesday 7th August 1996 around 7.00pm, informally. By Friday 9th August 1996, ALM developed urinary retention and renal failure, and had to be admitted to the Intensive Care Unit in the Bath hospital before being transferred to Bristol Royal Hospital for Sick Children. There he had to undergo debridement procedures due to extensive post-operative infection of the genitalia.

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CLS–v- Royal United Hospital Bath NHS Trust

The Claimant was admitted to the Royal United Hospital in Bath for treatment of an upper respiratory tract infection on the 27th January 1998. He was one month old. Intravenous fluids were delivered through an IVAC. The infusion was made up of 10% Dextrose and electrolytes. On 29th January at 21.30hrs the pressure alarm sounded. The infusion site was checked, and the cannula remained sited in the veins, and infusion recommenced. However, at 09.45hrs on 30th January, the infusion line was discovered to have extravasated, resulting in gross swelling of the left hand and fingers, and tissue damage was observed to the back of the infant claimant's hand.

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R(a child)-v-Bath & West Wiltshire

 

MENTAL HEALTHCARE NHS TRUSTPSYCHIATRIC NEGLIGENCE – INADEQUATE ASSESSMENT LEADING TO MISDIAGNOSIS AND IATROGENIC DRUG INJURY – ASPERGER SYNDROME/ATTENTION DEFICIT HYPERACTIVITY DISORDER

The Claimant was born on the 18th October 1984, and appeared "different" from birth, failing to use eye contact, never naturally developing a smile, and seeming to have no need for two-way interaction. Between the ages of 2.5 and 3.5 years, paediatric assessment was carried out upon the Claimant. At this stage, he was described as constantly hyperactive, with unpredictable behaviour and tantrums, obsessions which caused him to scream, and developmental language problems. He was treated with "behaviour management" and speech therapy.

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