Summary
On the 8 March 2023, an investigation commenced into the death of Christine Rita Booker, born on the 6th October 1943. The investigation concluded at the end of the Inquest on the 17 May 2024.
The medical cause of death was:
- la Haemorrhagic shock
- lb Iatrogenic injury of right pelvic blood vessels
- 2 The conclusion of the Inquest recorded that Christine Rita Booker died as a consequence of a complication of elective hip replacement surgery.
Content
Christine Rita Booker underwent an elective right total hip replacement at the Winterbourne Hospital, operated by Circle Health Group, on 23rd February 2023. Mrs Booker lost approximately 500ml of blood in the operation, which is at the upper level of the expected blood loss. Mrs Booker initially appeared to recover as expected following such a procedure, but became severely unwell at approximately 18.55 when her blood pressure became unrecordable. Measures were taken to resuscitate and stabilise Mrs Booker and she was transferred to Dorset County Hospital for ongoing treatment and imaging.
The imaging demonstrated extensive intraperitoneal and extraperitoneal blood, likely as a consequence of the surgery. Following a conversation with a vascular surgeon it was determined that Mrs Booker required embolisation of the bleeding vessels. However, there is no out of hours interventional radiology at Dorset County Hospital. Therefore, Mrs Booker was transferred to the Royal Bournemouth Hospital for the embolisation of the bleeding vessels by interventional radiology. Following the embolisation, she initially stabilised, but deteriorated again on 24 February and died on 24 February 2023.
Matters of Concern
- During the inquest evidence was heard that:
- There is no out of hours interventional radiology at Dorset County Hospital and that patients requiring this potentially urgent and life-saving intervention that live in the West of the County require transfer to the Royal Bournemouth Hospital for treatment.
- Because of the lack of out of hours interventional radiology at Dorset County Hospital, patients in the West of the County requiring such an intervention must be transferred to the Royal Bournemouth Hospital. This exposes these patients to a potentially considerable and significant delay in the provision of urgent and life-saving treatment, which, in turn, exposes them to an increased risk of death.
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