A consultant paediatrician warned medical colleagues treating her son that they had failed to give him life-saving antibiotics hours before he died from sepsis, an inquest has heard.
William Hewes, 22, a history and politics student, died on 21 January 2023 of meningococcal septicaemia at east London’s Homerton hospital, where his mother, Dr Deborah Burns, worked.
Burns brought her “very ill” son into the A&E at the hospital just after midnight and told her colleagues he was seriously ill and needed treating for meningitis, the inquest into his death heard on Thursday.
A doctor prescribed 2 grams of the antibiotic ceftriaxone within minutes of Hewes’s arrival and the medical team knew the drug had to be given as soon as possible. But due to a communication mix-up between the duty emergency registrar, Dr Rebecca McMillan, and nurses, the “life-saving” drug was not administered within the vital first hour of treatment, the inquest heard.
Burns said her son only got the antibiotics after she warned Dr Luke Lake, the acting medical registrar on duty at the time, about the failure to administer the drug. In written evidence read to the court, she said: “I told him I didn’t think William had the antibiotics. Luke reassured me, that they had been written up earlier. I replied: ‘Yes, but they have not been given.’”
Earlier, Dr McMillan recounted her distress when she realised at about 1.17am that the drug had not been administered by nurses as she requested.
She said: “I do recall standing outside the resus room with [nurse Marianela Balatico] where she asked if I was OK and said that I looked really upset when I realised that antibiotics had not been given.
“We had a conversation along the lines of we didn’t understand how this had happened. We were both upset when we realised that this hadn’t happened.”
Fighting back tears, McMillan said one of the “learning points” from Hewes’s death was the need “to be clearer who I’m giving instruction to”. She added: “I obviously thought that my instructions had been clear enough. I have thought about that moment over and over.”
Source: The Guardian, 13 February 2025
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