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Question: On Thursday 20th of October 2016 Mrs Kaur attended her local GPs’ surgery, with symptoms of breathlessness, pyrexia and racing pulse. Mrs Kaur thought she may have swine flu given that there had been a number of cases in the local area. Rather than being seen by the GP Dr Adams, Mrs Kaur was reviewed by an experienced nurse, Tom Mason. Tom noted that she was hot to touch, and a little breathless, but put this down to the fact that it was a hot day and Mrs Kaur admitted to being anxious at the possibility of having swine flu. Tom reassured Mrs Kaur and sent her away suggesting that she take plenty of fluids and advised her to return if she had any concerns. The next day Mrs Kaur felt no better, but decided to wait another 24 hours and see if she felt better. Later that evening she was found collapsed and unresponsive by her husband who called an ambulance. On arrival at Anytown Hospital, part of Anytown NHS Foundation Trust, Mrs Kaur needed cardio pulmonary resuscitation (CPR) and ongoing fluid support. Although the CPR was successful in restarting her heart, Mrs Kaur remained unresponsive. An urgent Magnetic Resonance Imaging (MRI) scan was performed, revealing a severe brain injury, most likely caused by a lack of blood flow to her brain during her initial collapse. A chest X-ray and blood film were then performed. The results revealed lower lobe pneumonia and swine flu. These results were not communicated to the Consultant in charge of Mrs Kaur’s care, Dr Ahmed, for 24 hours. The reason for this was that the junior doctor on duty that day, Dr Bush, had just started in acute medicine and was a bit overwhelmed. As a result any potential interventions were postponed for a further 24 hrs. Mrs Kaur remains in an unresponsive state, but the pneumonia and swine flu are now slowly resolving with medical intervention. Advise Mrs Kaur of any claims in professional negligence she may have and against whom.

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