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Brain Injury

Brain Injury Due To Medical Negligence

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Chambers UK 2019

Brain Injury

More than any other organ in our bodies, our brain relies on high levels of oxygen to function and survive. Without adequate oxygen, our brains quickly suffer and can sustain permanent damage within a few minutes. After 5 minutes, severe brain damage due to brain cell death is inevitable and after 10 minutes with insufficient oxygen, most people will die.

Brain injury due to medical negligence occurs more often than you might expect. Most frequently, medical negligent brain injury is due to oxygen deprivation (hypoxia), in babies, children and adults. The cause of the hypoxia varies from case to case: from birth trauma to medication errors, from inadequately treated infection to missed diagnosis.

Generally, there are two main causes of hypoxic brain injury:

1. Low or no blood oxygen – when the body cannot take in sufficient oxygen, due to illness or a medical emergency such as a heart attack.

2. Low or no blood supply to the brain – this can happen if a blood vessel to the brain is blocked, which happens in the case of a stroke.

Signs of hypoxia should be easy to spot by trained clinical staff and can include:

· Confusion

· Rapid heart rate and breathing

· Shortness of breath and difficultly talking

· Sweating

· Blue lips

Hypoxia is a clinical emergency, but it must be recognised, and its cause identified, before it can be treated. Treatment options depend on the cause but should automatically include oxygen support, via a mask or with a ventilating machine.

However, hypoxia is still missed by medical teams. It is these tragic cases that make the headlines of national newspapers and websites.

What are the symptoms of brain injury?

The consequences of brain injury depend on what area of the brain is most affected. It can be very difficult to regain lost function following a brain injury, so many brain injury cases result in permanent disability, including:

· Paralysis

· Loss of speech, vision, hearing

· Memory problems

· Mood disturbance

· Personality changes

· Behavioural changes

Any compensation awarded must consider the injury sustained and the cost of care and rehabilitation. Also included in the calculation is the pain and suffering of the patient, as well as loss of income and potential future income.

Below is a breakdown of the most common causes of medically negligent hypoxia and resultant brain damage.

Birth Injury

During birth, both mother and baby are susceptible to medical errors. Inadequate oxygen provision to the birthing baby can result in cerebral palsy. Cerebral palsy affects development and children with this condition can have problems with movement and learning and can suffer from seizures. For mothers, severe, inadequately managed blood loss or secondary infection can cause brain injury.

Misdiagnosis, missed and delayed diagnosis

Misdiagnosis missed and delayed diagnosis cover a gamut of potential causes of brain injury. These include: failing to spot a skull fracture following a head injury, missing the signs of a blood clot or bleeding on the brain, failing to properly manage blood loss, failure to adequately manage the airway, missing bleeding around the heart and into the abdomen and pelvis, and failure to recognise infection.

Medication errors

Many different types of medication error can lead to brain injury. Inadequate prophylaxis against clots and bleeding ulcers can lead to stroke and catastrophic bleeding respectively. Medication errors can affect the heart and lungs which cause a reduction in oxygen levels: for example, over prescription of opiate pain relief can depress the respiratory system while giving the incorrect dosage of heart medication can cause heart arrythmias.

For people who have known allergies to medication, taking these medications can lead to anaphylactic shock, which can lead to hypoxia if not recognised and treated immediately.

Little known is the fact that the administration of too much oxygen can also be fatal. Deaths whilst under general anaesthetic have been reported. A high flow of oxygen given instead of ventilation.

Mismanagement during surgery

There are stages during surgery under anaesthetic where oxygen deprivation can occur: inadequate ventilation during surgical procedures, poor or inadequate monitoring during and immediately after surgery, body tissue damage due to mishandling of surgical instruments and incorrect aesthetic management.

Furthermore, low oxygen levels can lead to an increased risk of post-operative complications including infection, heart failure, pulmonary hypertension and renal failure. Even, ‘modest fluctuations in oxygen delivery may lead to cognitive dysfunction’ and those patients that experience a drop of brain oxygen levels of greater than 25% during surgery showed a decline in Mini Mental State Examination scores after seven days. This decline was still evident 3 months later, in 5-12% of patients.1

Osbornes Law: specialists in medical negligence

For claims of medical negligence to be successful, it must be proven that the medical treatment provided fell below acceptable standards and that this negligence directly led to an injury. The process of claiming compensation in these cases can be stressful and time consuming, so you need to engage a solicitor who knows what they are doing. Stephanie Prior, Medical Negligence Solicitor at Osbornes Law, leads a team of solicitors who specialise in supporting victims of medical negligence in their pursuit of compensation.

If you believe you or a loved one has suffered brain injury due to medical negligence, it is a good idea to get in touch right away.

IMPORTANT DEADLINE: There is a 3-year limit for starting a compensation claim: from the time of the injury, to the start of legal proceedings.

Our Promise to You

· We will review your potential claim by advising you on the NHS complaints procedure or other alternative procedure if your case does not relate to NHS care and treatment.

· We will not charge a fee for our time in reviewing your case.

· We can assist you with any issues that you may have regarding the complaints procedure or that you encounter in obtaining copies of your medical records.

· We will advise you of the course of action in respect of your case.

For a confidential discussion regarding your situation call Stephanie Prior on 020 7485 8811 or fill in our online enquiry form.

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