Aside from the fact that ventilators were contraindicated in the first place...
Forwarded from Lawyers of Light
Two patients died while being treated at London’s Nightingale Hospital amid what a coroner has described as ‘widespread confusion’ around some of the equipment used for ventilation machines.
Although investigations into the deaths of Kishorkumar Patel and Kofi Aning, which began in May 2020, are ongoing, a coroner has raised concerns around a “cluster” of incidents involving breathing system filters.
The incidents are not thought to be unique to the Nightingale hospital, but there is particular concern around situations where intensive care capacity has had to be expanded.
Thousands of makeshift critical care beds were created in hospitals during each wave of coronavirus, with non-specialist staff brought in from other specialities to help care for patients.
The temporary Nightingale hospital in east London was only used by small numbers of patients, due to tight admissions criteria. There were widespread concerns raised last year that the facility was unsuitable for intensive care patients.
In a prevention of future deaths report, published late last week, coroner Nadia Persaud said that in both of the cases “there was a serious incident in which the wrong filter was found to have been used within the breathing systems of their intensive care ventilator”. She added: “It is understood that these two cases came within a cluster of similar incidents.”
It has not yet been concluded whether the filter incidents contributed to their deaths. But the report, sent to the Royal College of Anaesthetists and the Faculty of Intensive Care Medicine, has raised concerns about the awareness of intensive care clinicians of different types of air filters.
The report noted an independent expert had advised: “The non-standardised colour coding used by manufacturers of these filters, the number of different types of filters with different names, the variable optimal position of the filters, and whether a wet or a dry breathing system is being used, results in an extremely confusing situation.
“In my experience, few doctors and nurses working in ICU are knowledgeable about all these different filters and which ones should be used for any given breathing system.”
The report added the independent expert had said the classification and colour coding of the filters “is worthy of review, simplification, and standardisation”.
Ms Persaud said these concerns “are not confined to the Nightingale” – which was set up as a temporary measure last spring, but relate equally to all intensive care settings, particularly when the intensive care provision has been extended to other areas of the hospital.
The coroner added: “As there are still pressures within the [ICU] settings and in light of the imminent, planned reduction in covid-19 safeguards, I consider that action should be taken to address this concern at the earliest possible stage.”
Both the Royal College of Anaesthetists and the Faculty of Intensive Care Medicine told HSJ they had received the report, but declined to comment further. The college said it was working through the detail of the report while the faculty said it was seeking further information.
Barts Health Trust, which ran the Nightingale Hospital, has concluded investigations into the two deaths. But HSJ understands these investigations were “inconclusive” as to whether the filter incidents were among the causes of the deaths.
The London Nightingale, which was set up in east London’s Excel centre, has since been turned into a vaccination centre. There were six other temporary Nightingale hospitals established, but these were largely used for step down care or diagnostics.
A Barts Health spokeswoman said: “We offer our deepest sympathies to these patients’ families.
“While no conclusion has been reached by the coroner yet, these incidents have been fully reviewed within the Trust. Any wider recommendations which improve patient safety when filters are in use will be welcomed.”
Although investigations into the deaths of Kishorkumar Patel and Kofi Aning, which began in May 2020, are ongoing, a coroner has raised concerns around a “cluster” of incidents involving breathing system filters.
The incidents are not thought to be unique to the Nightingale hospital, but there is particular concern around situations where intensive care capacity has had to be expanded.
Thousands of makeshift critical care beds were created in hospitals during each wave of coronavirus, with non-specialist staff brought in from other specialities to help care for patients.
The temporary Nightingale hospital in east London was only used by small numbers of patients, due to tight admissions criteria. There were widespread concerns raised last year that the facility was unsuitable for intensive care patients.
In a prevention of future deaths report, published late last week, coroner Nadia Persaud said that in both of the cases “there was a serious incident in which the wrong filter was found to have been used within the breathing systems of their intensive care ventilator”. She added: “It is understood that these two cases came within a cluster of similar incidents.”
It has not yet been concluded whether the filter incidents contributed to their deaths. But the report, sent to the Royal College of Anaesthetists and the Faculty of Intensive Care Medicine, has raised concerns about the awareness of intensive care clinicians of different types of air filters.
The report noted an independent expert had advised: “The non-standardised colour coding used by manufacturers of these filters, the number of different types of filters with different names, the variable optimal position of the filters, and whether a wet or a dry breathing system is being used, results in an extremely confusing situation.
“In my experience, few doctors and nurses working in ICU are knowledgeable about all these different filters and which ones should be used for any given breathing system.”
The report added the independent expert had said the classification and colour coding of the filters “is worthy of review, simplification, and standardisation”.
Ms Persaud said these concerns “are not confined to the Nightingale” – which was set up as a temporary measure last spring, but relate equally to all intensive care settings, particularly when the intensive care provision has been extended to other areas of the hospital.
The coroner added: “As there are still pressures within the [ICU] settings and in light of the imminent, planned reduction in covid-19 safeguards, I consider that action should be taken to address this concern at the earliest possible stage.”
Both the Royal College of Anaesthetists and the Faculty of Intensive Care Medicine told HSJ they had received the report, but declined to comment further. The college said it was working through the detail of the report while the faculty said it was seeking further information.
Barts Health Trust, which ran the Nightingale Hospital, has concluded investigations into the two deaths. But HSJ understands these investigations were “inconclusive” as to whether the filter incidents were among the causes of the deaths.
The London Nightingale, which was set up in east London’s Excel centre, has since been turned into a vaccination centre. There were six other temporary Nightingale hospitals established, but these were largely used for step down care or diagnostics.
A Barts Health spokeswoman said: “We offer our deepest sympathies to these patients’ families.
“While no conclusion has been reached by the coroner yet, these incidents have been fully reviewed within the Trust. Any wider recommendations which improve patient safety when filters are in use will be welcomed.”
Forwarded from Clare Wills Harrison - Awakened World, lawyer, truthseeker, truth spreader. www.awakenedworld.co.uk (Clare Wills Harrison)
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Nick Hudson, from PANDA, makes an appeal: Courage is Not the Absence of Fear. Full interview at: covexit.com/interview-with…
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Commonsense Test - Dogs vs Humans
Forwarded from The Light Paper
The PCR has also not received FDA approval. PCR tests has an emergency use authorisation.
"The U.S. Food and Drug Administration reissued the LabCorp COVID-19 RT-PCR Test emergency use authorization (EUA) to include two new indications for use: testing for people who do not have COVID-19 symptoms or who have no reason to suspect COVID-19 infection, and to allow pooled sample testing."
FDA WEBSITE:
https://www.fda.gov/news-events/press-announcements/coronavirus-covid-19-update-fda-authorizes-first-diagnostic-test-screening-people-without-known-or
"The U.S. Food and Drug Administration reissued the LabCorp COVID-19 RT-PCR Test emergency use authorization (EUA) to include two new indications for use: testing for people who do not have COVID-19 symptoms or who have no reason to suspect COVID-19 infection, and to allow pooled sample testing."
FDA WEBSITE:
https://www.fda.gov/news-events/press-announcements/coronavirus-covid-19-update-fda-authorizes-first-diagnostic-test-screening-people-without-known-or