Assignment Task:
Task:
I, Sarah Helen Linton, Coroner, having investigated the death of Helen Christine MacFARLAINE with an inquest held at the Perth Coroner’s Court, CLC Building, 501 Hay Street, Perth on 10 March 2015 to 12 March 2015 find that the identity of the deceased person was Helen Christine MacFARLAINE and that death occurred on 12 April 2012 at Sir Charles Gairdner Hospital as a result of intracerebral haemorrhage in a lady with underlying cerebrovascular disease and hypertension following a recent right carotid artery endarterectomy in the following circumstances:
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Ms I O’Brien assisting the Coroner.
Ms C Thatcher (State Solicitor’s Office) appearing on behalf of Sir Charles Gairdner Hospital,
Dr Baker, Dr Griffin, Nurse Laurent, A/Clinical Nurse Hanstrum and Ms Anne Brinkworth.
Mr D Bourke (Clayton Utz) with Ms A De Villiers appearing on behalf of Professor Knuckey.
Ms W Gillan (instructed by Morag Smith, Avant Legal) appearing on behalf of Dr Mahindu.
Ms G McGrath (Panetta McGrath Lawyers) appearing on behalf of Dr Riaz.
Ms B Burke (Australian Nursing Federation) appearing on behalf of Nurse Watt and Nurse Powell.
INTRODUCTION
1. On 4 April 2012, Helen MacFarlaine (the deceased) underwent elective surgery at Sir Charles Gairdner Hospital (SCGH) on her right sided carotid artery. The surgery was uncomplicated and technically successful. She remained at the hospital for post- operative care for a number of days and was discharged home on
2. The following morning, the deceased suffered a catastrophic stroke and returned by ambulance to the Emergency Department of SCGH She was diagnosed with a devastating and non-survivable intracerebral haemorrhage and was transferred to the Intensive Care Unit, where she was treated palliatively until she died on themorning of 12 April 2012. Her death was reported to the Coroner and police officers from the Coronial Investigation Unit commenced a coronial investigation.
3. As part of the investigation into the death, on 10 to 12 March 2015, I held an inquest into the death. The evidence at the inquest hearing was primarily directed towards the deceased’s post- operative management at SCGH, particularly in relation to monitoring of her blood pressure, and the decision to discharge the deceased on the morning of 8 April 2012.
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