Patrick Moran
5 Jan 2018 · Coroner Jacqueline Devonish · London Inner (North)
The coroner's concerns
1. insulin overdose
“During the procedure under local anaesthetic on 25 July 2017 Mr [name redacted] continued to bleed due to the unknown existence of the rupture at that time. He developed hyperkalaemia and was administered an insulin-dextrose infusion. He was to be infused 10 units (0.1ml) on insulin but was mistakenly infused with 100 units (1ml). The serious incident investigation identified that the ST4 Anaesthetist did not use an insulin syringe but instead used a normal 1ml syringe. The use of this syringe was common”
Responses
No published response was found on judiciary.uk.