Southend mum bled to death after student paramedics waited 40 minutes before taking her to hospital

Echo: The ambulance was manned by two trainee paramedics The ambulance was manned by two trainee paramedics

A PREGNANT woman bled to death after two student paramedics waited 40 minutes before taking her to hospital, an inquest heard.

An ambulance was called to Trudy Glenister’s home, in Lee Lotts, Great Wakering, after she began vomiting, suffering severe abdominal pains and told relatives she was “losing the baby”.

The inquest, at Chelmsford Coroner’s Court yesterday, heard ambulance trainee Mark Elms and a student colleague arrived at the 38-year-old’s home at 7.29pm and began making observations at 7.35pm.

Echo: Southend Hospital

Ambulance queue: Southend Hospital

But despite concerns Mrs Glenister, who was five weeks pregnant and had a two-year-old daughter, could be suffering internal bleeding caused by an ectopic pregnancy, the ambulance crew didn’t set off for Southend Hospital until 8.09pm.

They arrived 15 minutes later as they did not put on the emergency sirens and then queued behind other ambulances instead of rushing in to warn medics.

Mrs Glenister died of a heart attack shortly after she was eventually admitted to the hospital.

Echo:

"Acute emergency:" Dr Ian Caulder 

Dr Ian Caulder, who carried out the post-mortem examination, said this was an “acute medical surgical emergency”

and discovered four to five litres of blood in her abdominal area which he found was caused by the foetus being in the fallopian tube and rupturing her ovarian artery.

Roger Wicks, from medical negligence solicitors Gadsby Wicks, who is representing her family, asked coroner Caroline Beasley-Murray to record medical negligence was a factor in her death amid claims the pair’s actions amounted to “gross failings in the provision of basic care”.

Mr Wicks argued that after Mr Elms formed the view within a few minutes of arrival that ectopic pregnancy was a possible cause of her symptoms, he should have called for back-up and immediately taken the patient to hospital.

Mr Elms told the court he had been training for just a year when the incident happened, on July 5, 2011.

His knowledge of ectopic pregnancies was confined to two brief paragraphs during his training, he said.

Echo:

"Gross failings:" Roger Wicks

The court heard his colleague was even less qualified and the pair were unable to carry out a number of measures used by qualified paramedics, including administering certain drugs.

Mr Elms accepted he did not have the same level of experience as a paramedic, but said carrying out two sets of observations on the patient before taking her to hospital was in accordcance with his training.

He said he considered ectopic pregancy, but also felt her high heart rate could be down to shock.

Echo: Caroline Beasley-Murray is overseeing an inquest into the death of Ayden Keenan-Olson, 14

Adjourned the case: Coroner Caroline Beasley-Murray

He said he did not travel to the hospital under blue lights because it could have “increased the patient’s anxiety”.

He changed his original statement to say he had informed a triage nurse about the seriousness of the case.

Dave Hill, representing the ambulance trust, said the incident had not been investigated and no proceedures had been changed since Mrs Glenister’s death.

Mrs Beasley-Murray adjourned the case for summing up until next week.

Comments (13)

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8:46am Fri 11 Apr 14

DogsMessInLeigh says...

2 learners out in an Ambulance saving lives..frightening.
you would naturally think a fully qualified medic would be on board too, instead of leaving it to two trainee personnel to make split decisions, what happened to always air on the side of caution.
2 learners out in an Ambulance saving lives..frightening. you would naturally think a fully qualified medic would be on board too, instead of leaving it to two trainee personnel to make split decisions, what happened to always air on the side of caution. DogsMessInLeigh
  • Score: 51

8:55am Fri 11 Apr 14

InTheKnowOk says...

Tragic case, one of which lessons will be learnt ...
Tragic case, one of which lessons will be learnt ... InTheKnowOk
  • Score: 27

8:56am Fri 11 Apr 14

Let's Break In Too Kim Gandys House says...

DogsMessInLeigh wrote:
2 learners out in an Ambulance saving lives..frightening.
you would naturally think a fully qualified medic would be on board too, instead of leaving it to two trainee personnel to make split decisions, what happened to always air on the side of caution.
Whilst texting on their iPhones about yesterday's day at college.
[quote][p][bold]DogsMessInLeigh[/bold] wrote: 2 learners out in an Ambulance saving lives..frightening. you would naturally think a fully qualified medic would be on board too, instead of leaving it to two trainee personnel to make split decisions, what happened to always air on the side of caution.[/p][/quote]Whilst texting on their iPhones about yesterday's day at college. Let's Break In Too Kim Gandys House
  • Score: -30

10:29am Fri 11 Apr 14

MilesBond says...

My heart goes out to her family. Truly tragic and massive incompetence from the Ambulance Trust. It's the equivalent of putting two trainee pilots in the cockpit of an airliner.
My heart goes out to her family. Truly tragic and massive incompetence from the Ambulance Trust. It's the equivalent of putting two trainee pilots in the cockpit of an airliner. MilesBond
  • Score: 26

3:30pm Fri 11 Apr 14

Democrat says...

"Dave Hill, representing the ambulance trust, said the incident had not been investigated and no procedures had been changed since Mrs Glenister’s death."

WHY THE HELL NOT!!!!!!

If it is not a policy to always have an experienced paramedic with every inexperienced one it ought to made a policy immediately. If it is already a policy, which manager/rota supervisor has been sacked for gross misconduct?

I have great sympathy for the family in their tragic loss in an incident that should never have happened. Dave Hill's comments are symptomatic of a failing organisation who seem to be content to let this happen again if they have not investigated what went wrong.
"Dave Hill, representing the ambulance trust, said the incident had not been investigated and no procedures had been changed since Mrs Glenister’s death." WHY THE HELL NOT!!!!!! If it is not a policy to always have an experienced paramedic with every inexperienced one it ought to made a policy immediately. If it is already a policy, which manager/rota supervisor has been sacked for gross misconduct? I have great sympathy for the family in their tragic loss in an incident that should never have happened. Dave Hill's comments are symptomatic of a failing organisation who seem to be content to let this happen again if they have not investigated what went wrong. Democrat
  • Score: 25

5:05pm Fri 11 Apr 14

Living the La Vida Legra says...

Shame on you NHS!
Shame on you NHS! Living the La Vida Legra
  • Score: 14

5:33pm Fri 11 Apr 14

jolllyboy says...

It MUST be investigated why to not fully qualified people were allowed out in an ambulance like this. unforgivable.
It MUST be investigated why to not fully qualified people were allowed out in an ambulance like this. unforgivable. jolllyboy
  • Score: 9

5:40pm Fri 11 Apr 14

runwellian says...

Even when first qualified, paramedics should spend a year with with someone that has more experience.

It can take a lifetime to learn all you need to know but two boys on their won, what the hell was going on?

I hope the family sue fro every penny they can get, but of course nothing compensates for a lost loved one!

These are the same people that expect us to use 111 run by untrained staff that send ambulances to rescue cats stuck up trees!

The NHS fails patients by the minute, please ensure no trainee or newly qualified paramedic is allowed to work unsupervised fro some time after qualification.
Even when first qualified, paramedics should spend a year with with someone that has more experience. It can take a lifetime to learn all you need to know but two boys on their won, what the hell was going on? I hope the family sue fro every penny they can get, but of course nothing compensates for a lost loved one! These are the same people that expect us to use 111 run by untrained staff that send ambulances to rescue cats stuck up trees! The NHS fails patients by the minute, please ensure no trainee or newly qualified paramedic is allowed to work unsupervised fro some time after qualification. runwellian
  • Score: 10

1:02am Sat 12 Apr 14

Idontknowy says...

Condolences to the family.

Shame on this government for systematically dismantling the NHS
Condolences to the family. Shame on this government for systematically dismantling the NHS Idontknowy
  • Score: 10

9:09am Sat 12 Apr 14

CHRISTMAS CAROL says...

Disgusting, why put 2 trainess together
Disgusting, why put 2 trainess together CHRISTMAS CAROL
  • Score: 10

9:18pm Sun 13 Apr 14

cgb says...

Needs thorough investigation and any lessons learnt acting on.

But Sue the hell out of them? The public need to realise there isn't a magical pot if money the damages come from. It comes from your taxes and means there's less for other things such as training and employing fully qualified staff.

Equating loss of a loved one to monetary terms is disgusting
Needs thorough investigation and any lessons learnt acting on. But Sue the hell out of them? The public need to realise there isn't a magical pot if money the damages come from. It comes from your taxes and means there's less for other things such as training and employing fully qualified staff. Equating loss of a loved one to monetary terms is disgusting cgb
  • Score: 2

10:36am Mon 14 Apr 14

MilesBond says...

cgb wrote:
Needs thorough investigation and any lessons learnt acting on.

But Sue the hell out of them? The public need to realise there isn't a magical pot if money the damages come from. It comes from your taxes and means there's less for other things such as training and employing fully qualified staff.

Equating loss of a loved one to monetary terms is disgusting
I agree with you. However, sometimes when dealing with the consequence of cost cutting a financial penalty is the only weapon to hand.
[quote][p][bold]cgb[/bold] wrote: Needs thorough investigation and any lessons learnt acting on. But Sue the hell out of them? The public need to realise there isn't a magical pot if money the damages come from. It comes from your taxes and means there's less for other things such as training and employing fully qualified staff. Equating loss of a loved one to monetary terms is disgusting[/p][/quote]I agree with you. However, sometimes when dealing with the consequence of cost cutting a financial penalty is the only weapon to hand. MilesBond
  • Score: 5

2:15pm Mon 14 Apr 14

Blo Joggs says...

Trainee paramedics don't just go out on the road. They have at least 1 year as a student paramedic and then at least 2 years after this period as a qualified student paramedic. 3 years on the road dealing with trivial cases such as simple falls to cut fingers to real medical emergencies. Without knowing the full facts of the case, you cannot point fingers towards the student paramedics and call them incompetent. They must assess the patient and diagnose from what they find. Differential diagnosis must be also taken into consideration. I think if the observations were life threatening, they would have no problem with blue lighting the patient and alerting the hospital, they would not wait for a patient to get into a critical state before rushing someone in. it is about preserving life not playing God.
Trainee paramedics don't just go out on the road. They have at least 1 year as a student paramedic and then at least 2 years after this period as a qualified student paramedic. 3 years on the road dealing with trivial cases such as simple falls to cut fingers to real medical emergencies. Without knowing the full facts of the case, you cannot point fingers towards the student paramedics and call them incompetent. They must assess the patient and diagnose from what they find. Differential diagnosis must be also taken into consideration. I think if the observations were life threatening, they would have no problem with blue lighting the patient and alerting the hospital, they would not wait for a patient to get into a critical state before rushing someone in. it is about preserving life not playing God. Blo Joggs
  • Score: 11

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