Nadeem Ahmed
8 Jul 2021 · Coroner Nadia Persaud · East London
The coroner's concerns
1. lack of accurate clinical information transfer
“At the time of communication between the LAS paramedic on scene and the paramedic on the HEMS dispatch desk, Mr [name redacted] was in a state of hypovolemic shock. He had a very high pulse rate, a very high respiratory rate, had suffered a brief loss of consciousness and had a concerning pallor. This clinical picture was not conveyed to the HEMS desk. The paramedic on scene did not offer accurate and relevant clinical information. The paramedic on the HEMS desk requested only the GCS and not the full clinical”
Responses
2021-0232-Response-from-London-Ambulance-Service-NHS-Trust_Published.pdf ↗· London Ambulance Service NHS Trust
Stated action
“we will expand the use of the SBAR handover tool for use in when such reports are provided. We are absolute that this enhanced process should not delay an early request for assistance where it is immediately apparent that such assistance is required but an SBAR should be provided once an initial assessment has occurred.”