https://padlet.com/ab6925/5ab2wtt3j8w Made with a bold sensibility en-us 2018-06-21 10:10:56 UTC 2023-10-13 18:25:46 UTC hello@padlet.com https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079253 2018-06-21 10:12:31 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079253 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079269 Bad decisions although didn't intend to harm the 
patient]]> 2018-06-21 10:12:40 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079269 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079286 Negligence claim. Pt was not examined thoroughly and symptoms of stroke were missed. He was clearly AVVV positive and needed medical attention quickly. ]]> 2018-06-21 10:12:53 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079286 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079291 - not negligent due to aspirin isn’t indicated for a stroke as it’s not possible to distinguish if it is a haemorrhagic or not. DOC established- foreseeable harm, relationship established and reasonable to impose DOC. Breach not present as acted with pre hospital guidelines. ]]> 2018-06-21 10:12:54 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079291 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079335 It was negligence as the paramedic received insufficient training prior to intubation first patient so was not competent enough to use the equipment. Even when the paramedic intubated they failed to realise the fact they had intubated in to the oesophagus and not into the trachea. The paramedic made no effort to try other airway techniques first that he was more competent with.]]> 2018-06-21 10:13:16 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079335 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079346 Negligence, did not act within resources. No evidence of neurological assessment by any crew damage is reasonably foreseeable. ]]> 2018-06-21 10:13:21 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079346 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079358 Negligence - resp rate of 36 considered normal? Already had one crew out and Out of hours told them to call 999 because they needed to go to hospital. Obvious slurred speech as suggested by call handler and friend yet no FAST test or AVVV considered. End result is food poisoning plainly because of vomiting.  ]]> 2018-06-21 10:13:28 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079358 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079372 2018-06-21 10:13:35 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079372 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079374 I think this was a case of doctrine of double effect. The paramedics intention were good but resulted in a bad outcome. However Some negligence lies with the medical director for not making sure staff on the front line was using end tidal c02 during intubation if it was so proved that using this is a more efficient and safer way to treat. I also believe mandatory courses/practice sessions should be given for such skill possible once a year so paramedics are more compitent carrying out such skills. ]]> 2018-06-21 10:13:36 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079374 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079378 Directors fault, training hadn’t been updated. Intentions were good.]]> 2018-06-21 10:13:39 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079378 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079384 Negligence - Should have gone in after a second call was made. No harm in taking a patient in that feels like they need to go in especially if they are actually unwell]]> 2018-06-21 10:13:42 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079384 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079387 2018-06-21 10:13:43 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079387 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079392 Negligent ]]> 2018-06-21 10:13:46 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079392 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079405 employer negligence - the employer did not make the co2 monitor mandatory despite JRCALC published guidelines 2 years prior. The paramedic had experience, and training to perform the procedure but no visual recorded evidence that the intubation was successful. in addition he did not take any other airway measures prior to intubating which could have prevented any of these events. ]]> 2018-06-21 10:13:53 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079405 kyradonegan https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079412 Perrons- good intention with bad outcome.]]> 2018-06-21 10:13:55 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079412 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079454 Not neglect, lack of training and competence. Was checked by other crew.
? Low competentance intubation, ? bad training refreshers by service, ? Did they consistently recheck ABC’s. ? Other airway ladder before intubation, ?service didn’t introduce ETCO2 as mandatory practice is arrests.]]> 2018-06-21 10:14:12 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079454 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079461 Paramedic was not negligent because update training wasn’t given, it wasn’t mandatory for end tidal Co2 monitor to be used and they weren’t distributed to all crews in the service to use anyway. Although other steps for airway management could have been taken before intubation that may have been effective if attempted. ]]> 2018-06-21 10:14:14 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079461 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079510 Negligent: not enough trainning or the supporting equipment so therfore should not have used it. ]]> 2018-06-21 10:14:31 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079510 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079511 Intentions were good, went straight for ET rather than worked up airway ladder and situation was time critical. Para was unaware of the end tidal co2 as the info wasn’t passed along ]]> 2018-06-21 10:14:32 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079511 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079517 Emotive situation involving colleague.
Honorable intensions.
Negligent on crews behalf to auscultate/confirm tube placement.
Trust failure to provide crew with accurate equipment ETCO2 to confirm tracheal placement - system failure.]]> 2018-06-21 10:14:33 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079517 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079555 Intentions were good, with a bad outcome. 
It was the fault of medical director for not refreshing the paramedics knowledge in this area.]]> 2018-06-21 10:14:52 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079555 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079565 Negligent. There was no need to use ET intubation and the paramedic should have worked up the airway ladder, starting with OPA]]> 2018-06-21 10:15:00 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079565 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079605 Negligent: There was a lack of training however there was omission from the Para who should've known about their own abilities,skill and the risks of intubating which weren't taken into account when considering potential harm ]]> 2018-06-21 10:15:17 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079605 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079622 The paramedics did what they thought was right and even in the ambulance another paramedic also confirmed that the tube was in. So the paramedic would not have known otherwise ]]> 2018-06-21 10:15:25 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079622 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079709 Intubation contributed to death. 

Good intention bad out come. 

Paras not given the correct training but they responsibility to ensure that tube as correctly placed and responsibility to ensure on going competency and updating of best practice re co2 monitoring. ]]> 2018-06-21 10:16:13 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079709 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079746 2018-06-21 10:16:32 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079746 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079753 Doctrine of double effect- good intentions to intubate but poorly executed and failure to accurately confirm et tube placement 
Incompetence of second paramedic as well confirming that the et tube was in place. Poor standard of care.]]> 2018-06-21 10:16:36 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079753 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079781 2018-06-21 10:16:53 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079781 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079794 Clinical negligence due to paramedic not doing though check after atteplting to intubate. ETco2 was not regulated along with frequent retraining of entubating Doctrine of double effect. ]]> 2018-06-21 10:16:58 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079794 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079818 Not enough training - negligence ]]> 2018-06-21 10:17:13 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079818 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079823 2018-06-21 10:17:16 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268079823 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268080129 2018-06-21 10:19:53 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268080129 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268080181 2018-06-21 10:20:18 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268080181 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268080233 Negligent: There was a lack of training from the service but there was omission from the Para for not taking into account their own training and not considering the other risks of intubation involved ]]> 2018-06-21 10:20:46 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268080233 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268080470 2018-06-21 10:22:48 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268080470 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268080477 2018-06-21 10:22:54 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268080477 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268080524 2018-06-21 10:23:23 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268080524 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268080531 2018-06-21 10:23:27 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268080531 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268080596 2018-06-21 10:23:52 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268080596 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268080677 2018-06-21 10:24:10 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268080677 keithedge85 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268080730 2018-06-21 10:24:14 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268080730 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268080828 2018-06-21 10:25:11 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268080828 keithedge85 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268080976 Where there's blame, there's a claim.]]> 2018-06-21 10:26:09 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268080976 keithedge85 https://padlet.com/ab6925/5ab2wtt3j8w/wish/268082762 Make sure you get the tip in the right hole or,, you may well get the wrong hole and a right bollocking for it.]]> 2018-06-21 10:41:27 UTC https://padlet.com/ab6925/5ab2wtt3j8w/wish/268082762