Devastating and Non-Survivable Intracerebral Haemorrhage – Medical Sciences Assignment Help

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INTRODUCTION 

1. On 4 April 2012, Helen MacFarlaine (the deceased) underwent elective surgery at Sir Charles Gairdner Hospital (SCGH) on her  right sided carotid artery. The surgery was uncomplicated and  technically successful. She remained at the hospital for post operative care for a number of days and was discharged home on  8 April 2012. 

2. The following morning, the deceased suffered a catastrophic stroke  and returned by ambulance to the Emergency Department of SCGH.  She was diagnosed with a devastating and non-survivable  intracerebral haemorrhage and was transferred to the Intensive  Care Unit, where she was treated palliatively until she died on the  morning of 12 April 2012. Her death was reported to the Coroner  and police officers from the Coronial Investigation Unit commenced  a coronial investigation. 

3. As part of the investigation into the death, on 10 to 12 March 2015, I held an inquest into the death. The evidence at the inquest  hearing was primarily directed towards the deceased’s post operative management at SCGH, particularly in relation to  monitoring of her blood pressure, and the decision to discharge the  deceased on the morning of 8 April 2012. 

4. The documentary evidence comprised a volume of materials obtained during the coronial police investigation,1 the deceased’s  original medical file,2 and a number of additional exhibits tendered  during the hearing.3 

5. Oral evidence was heard from Professor Knuckey, the neurosurgeon  who performed the deceased’s initial surgery, and then from a  number of the doctors and nurses involved in her post-operative  care in the Neurosurgery Ward at SCGH. In addition, Dr Baker, the  intensive care specialist who cared for the deceased on her re 

admission to SCGH, and Professor Bryant Stokes, a Clinical  Professor of Neurosurgery, gave expert evidence in relation to the  overall care of the deceased leading up to her surgery and from then  until her death. 

6. At the conclusion of the hearing, a letter from the deceased’s  husband was provided to the Court in lieu of submissions.4 Written  submissions were later filed on behalf of Sir Charles Gairdner  Hospital, Dr Mahindu, Nurse Watt and Professor Knuckey. I have  

  

THE DECEASED 

7. The deceased was a 52 year old Anglo-Indian woman, having been  born on 7 November 1959 in Calcutta, India. She moved to  Western Australia with her family as a teenager. She qualified as a  teacher and at the time of her death she was working as an English 

teacher in South Hedland.5 

8. The deceased had a son from a previous marriage and had  remarried a couple of years before her death. She had not taken her  new husband’s name to avoid confusing her students with a name  change.6  

9. The deceased’s husband described the deceased as strong willed but  easy going, although she could come across as quite blunt because  she would usually say what she thought.7  

10. In relation to her general health, the deceased smoked up to a  packet of cigarettes a day and was slightly overweight.8 She drank  approximately half a bottle of wine a night and smoked a small cone  of marijuana every night to help her sleep.9 She was apparently not  on any medication until it was prescribed in the lead-up to her  surgery,10 although she had an ongoing anxiety disorder.11

 

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