A coroner found that the death of a 59-year-old woman was preventable if the appropriate level of sepsis care had been provided. Sepsis was detected early, but Mrs. Campbell did not receive timely treatment, resulting in her death less than a day later. The coroner highlighted multiple care deficiencies, such as inadequate monitoring, delays in antibiotic administration, and a lack of fluid resuscitation. A cardiac arrest occurred while she was still being treated in the A&E department due to failures in escalating her care according to the required guidelines.
The coroner ruled that the death of a 59-year-old woman could have been avoided with appropriate sepsis care as per NICE guidelines. Mrs. Campbell died less than 24 hours after inadequate treatment.
Area coroner Nadia Persaud noted that early detection of sepsis was not matched with the prompt care required, leading to neglect and contributing to the woman's death.
The report indicated significant delays in administering vital antibiotics and a lack of proper fluid resuscitation, which included no fluid balance analysis to address critical lactate levels.
Mrs. Campbell suffered a cardiac arrest while still in the A&E department due to a failure to escalate care in alignment with the National Early Warning System guidelines.
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