The inquest heard hospital staff did not check Braes full vital signs including temperature, pulse and blood pressure when he presented to the emergency department with severe leg pain on the morning of 20 September. "The kidneys start to fail in what is an overwhelming sepsis and that is something that we were battling against, because we didn't actually have the resources to support failing kidneys that's why we needed to get him out," nurse Max McLean said. Senior doctor gives evidence about Alex Braes' final hours on day two of inquest, Follow the action from the third Test between India and Australia in Delhi in our live blog, Former government services minister Stuart Robert is being questioned at theRobodebt inquiry, Keep up with the latest ASX and business news. 7 Callum Jones: Sprained Ankle Causes Fatal Blood Clot. She said as a hospital practice it was not compliant with NSW Health policy. Like that day, she said the nurses were still often very busy and under an awful lot of pressure. Please don't include personal or financial information here, My property was damaged or destroyed in the fires FAQ. Mr Braes, 18, died at Sydney's Royal Prince Alfred Hospital on September 22, 2017 after he was flown from Broken Hill. His wife was left sitting on the tarmac of Broken Hill Airport for hours waiting for a plane to come from Sydney to retrieve their 18-year-old dying son. But so shocking is his case that it's prompted a group of clinicians who worked at Broken Hill Hospital to blow the whistle on what they believe is a hospital that had dangerous, systemic failures for years. Alex Braes, 18, died at Sydney's Royal Prince Alfred Hospital about 46 hours after limping into Broken Hill Base Hospital at 3am on September 20, 2017. But the 18-year-old mechanic died with "tragic suddenness",. Alex and his father arrived back at the hospital. An inquest was established soon after that report and was due to undertake Broken Hill hearings last yearbut was delayed after coronavirusrestrictions affected proceedings. "The only evidence that we have is that Alex had Streptococcus pyogenes grown in his bloodstream and he had septic shock," he said. Ms Edwards asked Ms Murphy whether it was still the case that a nurse with three years of experience could be caring for nine patients. Alex Braes, 18, died at Sydney's Royal Prince Alfred Hospital about 46 hours after limping into Broken Hill Base Hospital at 3am on September 20, 2017. Ms Anderson said 'yes' and that the rule was notin place at the hospital any longer. A shortage of resources was one factor contributing to Mr Braes' death, Ms Kelly said. Broken Hill teenager Alex Braes, who died of septic shock. Alex Braes, 18, died at the Royal Prince Alfred Hospital in . a coroner has heard. Mr McLean says by this stage Alex's third presentation alarm bells should have been ringing. "Every person (from) the smallest thing to the largest thing, they get a set of obs.". Alex Braes, 18, died at Sydney's Royal Prince Alfred Hospital nearly 46 hours after limping into Broken Hill Base Hospital at 3am on September 20, 2017. By the time Alex was diagnosed with a bacterial infection he was in septic shock and needed to be medically evacuated to Adelaide. Deputy Coroner Ryan's findings also noted that whilethere were deficiencies in the care given to Mr Braes, theydid not cause or contribute to his death. Outside her tent, next to a popular city walking track, homeless Tasha is past caring what people think. His death has also devastated the clinicians working at Broken Hill. Alex was given a triage category of three, meaning the patient must see a doctor within 30 minutes. The inquest will continue on August 31 with Sydney-based hearings. "You need to move that patient as soon as you possibly can to an organisation that has the facilities, the staff to manage the patient as best as possible," she said. By the following morning, Alex's pain was so excruciating, he couldn't walk. Coroner's Report: With Willa Ford, Peter Barton, Michael Swan, Kyle Labine. Dr Randall Greenberg on Wednesday spokeat length in the New South Wales Coroner's Court about Mr Braes' condition, and issues thatprevented the RFDS from transferring him to Sydney or Adelaide sooner. Alex and his father arrived back at the emergency department. Deputy State Coroner Elizabeth Ryan delivered the inquest's findings in the Broken Hill courthouse on Monday. Each season is dedicated to a different series in horror. Alex Braes, 18, died at Sydney's Royal Prince Alfred hospital nearly 46 hours after limping into Broken Hill Base hospital at 3am on 20 September 2017. . Alex Braes (Credit: ABC "Four Corners," family photograph) The death has traumatised Braes' family and hospital staff alike. Health Hazard, reported by Louise Milligan, goes to air on Monday 9th September at 8.30pm. They sat there. But one nurse was still responsible for both triaging patients in the waiting room and overseeing the departments nursing team. Alex Braes, 18, had significant knee pain when he first presented to Broken Hill Hospital in the early hours of September 20, 2017. Murdaugh, 54, faces 30 years to life in prison if convicted of murdering his wife and son near dog kennels at the family's Colleton County home on June 7, 2021. Ms Ryan said there had an been "extraordinarylack" of progress between NSW Health and SA Healthestablishinga formalised cross-border arrangement to transfer critically-ill patients from BrokenHill to Adelaide. A traumatised doctor has broken down in tears at an inquest, reflecting on how a relatively well teenager was joking with his father the night before his sudden death. 7 (PDF, 113.1 KB), Coffs Harbour Local Court, 2-16 Beryl St, Coffs Harbour 2450, Before her Honour Magistrate Forbes, Deputy State Coroner, Forensic Medicine and Coroners Court Complex, 1A Main Ave, Lidcombe, Before his Honour Magistrate Lee, Deputy State Coroner, Forensic and Coroners Court Complex, 1A Main Ave, Lidcombe, Inquest into the Death of A.W. Broken Hill Base Hospital in NSW had a 'business rule' that discouraged the taking of routine vital signs at ED triage, reports hearing into Alex Braes' death in 2017. New South Wales Health Department figures show Broken Hill has the highest potentially avoidable death rate in New South Wales at 189 deaths per 100,000 people and most recent figures show it is rising. Posted by posopa9401 January 4, 2022 Posted in Opinions Tags: after, Braes, coroner, hears, septic, shockBrokenhospital, Transferoption. My first thought was I havent finished obs for him, I havent done anything for him, have I missed something? she told the inquest. When asked by Ms Edwards if she was feeling under a lot of pressure that morningand finding it difficult to manage workflow, Ms Murphy answered 'yes' to both questions. Mr Braes said the hardest thing was returning home to find his sons iPad, where the last thing he Googled was can pain kill you?, Every time I pick that iPad up, it just reminds me of him, he said. AEST = Australian Eastern Standard Time which is 10 hours ahead of GMT (Greenwich Mean Time), abc.net.au/news/alex-braes-death-still-haunts-doctors/11470424, Your information is being handled in accordance with the, Get breaking news alerts directly to your phone with our app, Help keep family & friends informed by sharing this article, China leaving US behind on development of critical technologies, report finds, Former minister takes 'absolute responsibility' for Robodebt, admits defending scheme despite knowing it could be unlawful, 'Sickening, callous and brazen': Sydney man dies in hail of bullets in front of 12yo son, Evelyn worked three jobs when she was in her 20s to build up her super. We acknowledge Aboriginal and Torres Strait Islander peoples as the First Australians and Traditional Custodians of the lands where we live, learn, and work. Ms Anderson was then asked when the rule was disbanded. All NSW magistrates are coroners by virtue of their status: s 16. These figures meant the odds were against Alex Braes from the start. Broken Hill hadn't been able to get a GP that week to staff the fast-track clinic which saw less-serious patients, so that put enormous pressure on the emergency department. Registered nurse Kristy Kelly, who was the team leader in the hospital's emergency department on the morning of September 21, 2017, told the inquest she was bound by that rule. She recommended that, as matter of urgency, the healthdepartments agree to continue discussions for formalising that arrangement and that the matter be escalated to the NSW Health Secretary if that was not in place within a year. Report. The local proceedings of inquest into the death of Broken Hill teenager Alex Braes has finished after hearing of a "distressing"hospital business rule, staffing resources and apologetic doctors. Alex was now in toxic shock from a deadly, flesh-eating disease known as necrotising fasciitis. Alex Braes, from Broken Hill died from a deadly flesh-eating diseases in 2017 Inquest into the 18-year-old's sudden death reveals doctors missed vital signs Young man complained of severe pain. During the flight Alex continued to decline and, as his mother watched, the paramedics struggled to keep him stable, having to phone doctors for advice. The 18-year-old died about 1am on 22 September soon after landing in Sydney after a prolonged effort to evacuate him from Broken Hill. Alex Braes, 18, died at Sydney's Royal Prince Alfred Hospital about 46 hours after limping into Broken Hill Base Hospital at 3am on September 20, 2017. He suffered multi-organ failure due to sepsis from a group A streptococcus infection, one month after treatment for an infected ingrown toenail. It was a call made far more difficult due to a lack of available pilots at the RFDS base in Broken Hill that day. The inquest will investigate the treatment Alex Braes received before he died from a bacterial infection known as Group A Streptococcus (GAS). The family had to wait several hours for an aircraft to be dispatched from Sydney to collect Alex. Browse for your location and find more local ABC News and information. But I can say to you that I think of that boy frequently," she said. "Because it's not good enough in 2019 to have people in the far west of New South Wales having worse health outcomes than people in the city.". We acknowledge Aboriginal and Torres Strait Islander peoples as the First Australians and Traditional Custodians of the lands where we live, learn, and work. We acknowledge the traditional owners and custodians of the land on which we work and we pay respect to the Elders, past, present and future. Broken Hill teen Alex Braes died in 2017. A doctor who later saw Alex Braes said the 18-year-old was 'the sickest patient he'd ever seen at Broken Hill' hospital. For legal cases involving intentional or accidental death and for insurance claims, The Records Company retrieves coroner's reports and autopsy reports. I never got to see him again, Mr Braes sobbed. There was no autopsy so the cause of death cannot be definitively determined, Ms Edwards said. Australian Institute of Health and Welfare figures released in July show the further Australians live from capital cities, the higher the rate of potentially avoidable deaths. The nurse did not provide the pillow but left her post to go out into the waiting room to check on Alex. Registered nurse Michelle Murphy, who attended to Alex on his fourth presentation, told the inquest that nurses found the rule 'quite distressing'. While Broken Hill Hospital's deficiencies did not cause or contribute to Braes' death, the hospital's administration and the Far West Local Health District downgraded the severity classification of the incident. About 21 hours after he first presented to the emergency department, and with 12 hours left to live, the treatment of the 18-year-old was handed over to the chief medical officer of the Royal Flying DoctorService (RFDS). Alex and his father were told to go home and come back later. . "We've gone back to the full set of obs (observations) at every triage," she said. Shortly after 10 p.m. on June 7, 2021, Alex Murdaugh called 911 from his property in Islandton, South Carolina, to report that he had found his 22-year-old son Paul and his wife Maggie, 55, murdered. An infectious diseases specialist has told an inquest he was considering amputation to save the life of a gravely ill teenager he was treating at a rural hospital, but that the only option was to fly him elsewhere. Alex Braes, 18, died at Sydney's Royal Prince Alfred Hospital about 46 hours after limping into Broken Hill Base Hospital at 3am on September 20, 2017. 95 Hits - Ajith May 31, 2022, 7:26 PM. Sign up here. John Braes told the inquest at its first day of local hearings that his son had looked up 'can pain kill you' on his iPad in the days before his death. First doctor to treat NSW teenager who died from infection admits he should have taken vital signs, Original reporting and incisive analysis, direct from the Guardian every morning. "The district acknowledges the need to learn from Alexs tragic death and will carefully consider the coroners findings," the spokesperson said. This service may include material from Agence France-Presse (AFP), APTN, Reuters, AAP, CNN and the BBC World Service which is copyright and cannot be reproduced. She told Four Corners that by this stage, Alex was desperately unwell, yet he was again left waiting. She said evidence highlightedthat Mr Braes was effectively refused admission to a South Australian tertiary hospital on September 21, 2017. One nurse is responsible for two jobs at the Broken Hill hospital, the inquest into the death of Alex Braes has heard. "I didn't know his family, I didn't know Alex Braes. Stay up to date with our daily newsletter, Seriously Ill COVID-19 Patient Turned Away By 100 Hospitals In Japan, COVID-Positive Pregnant Woman Delivers Near Hospital Gate After Doctors Turn Her Away, Canada's Trudeau Denies Report That Liberals Told To Drop Candidate Over China Ties, After Italian Migrant Boat Wreck, Police Arrest Three Alleged Traffickers, 14 Chinese Military Aircraft Tracked Around Country, China's Annual Parliament To Implement Xi's Tightening Grip, Alex Braes, 18, sufferedmulti-organ failure due tosepsis and died after hospitals either sent him home or refused to admit him, A hospital "business rule" resulted in the teen's vitals not being checked duringhis first three presentations, A coroner said there was a serious and unacceptable deficiency in his treatment at the hospital. According to these figures, for every 100,000 people, there are 91.6 avoidable deaths in major cities, compared to 248.7 avoidable deaths in very remote parts of the country. The second day of hearings heard from DrDavid Hooper, who reviewed Alex during his third presentation to the local hospital on September 20, 2017. I have found the failure to perform vital signs observations was a serious deficiency in the care provided to Alex, Ryan said in her findings. Again, no-one checked Alex's vital signs. "I was aware that many of the staff felt that it affected the way they triaged and potentially could affect the accuracy of their triages," replied Ms Kelly. However, at the time of Alexs death, Broken Hill Hospital had implemented a business rule that meant nurses were discouraged from taking vital signs during triage. "Unfortunately it's a very serious omission that somebody who's been repeatedly in the emergency department hasn't been gone over with a fine-tooth comb," he said. She noticed he was sweaty and unwell and moved him into a bed in the emergency department. The Coroner's Report is a fictional crime scene report of the victims of various horror films. All Rights Reserved. I think it could easily happen I have a great fear it could happen, she said. Get the best investigative journalism, delivered to your inbox. A man died just hours after entering a secure mental health unit. "Furthermore, Alex was not transferred to the closest hospital suitable forhis care, which was South Australia's Royal Adelaide Hospital," Ms Ryan said. Staff managed to find a bed for Alex at Sydney's Royal Prince Alfred Hospital and an air ambulance left Sydney to come and collect him. Please try again later. Alex Braes, 18, died at Sydney's Royal Prince Alfred hospital nearly 46 hours after limping into Broken Hill Base hospital at 3am on 20 September 2017. The highly experienced clinician also took time at the end of his testimony to address the Braes family directly. Experts assembled for the inquest said they had notcompletely agreed on the cause of Alex's death. and Fire at Capertree, Inquest into the Death of Nicholas LOUDON, Before her Honour Magistrate Kennedy, Deputy State Coroner, Inquest into the Death of Stanley RUSSELL, Byron Bay Local Court, Middleton St, Byron Bay 2481, Before her Honour Magistrate OSullivan, State Coroner. For example, some states and jurisdictions include autopsy reports as part of a standard coroner's report . Dr. Piazza - Injury and Thrombosis. She recommended NSW and SA health departments urgently agree to cross-border transfers of critically ill patients from Broken Hill. The decision not to transfer the teenager to a better-equipped, major hospital sooner was also under the microscope. FOLLOW MORE IBT NEWS ON THE BELOW CHANNELS, IBT Fast Start - Let the best of International News come to you. In lieu of an autopsy, a panel of experts . Alex Braes, 18, suffered multi-organ failure due to sepsis and died after hospitals either despatched him domestic or refused to admit him. "I'm so sorry that this happened to you," said DrArangala to the Braes family in an emotional, sombre tone. A centralised medevac dispatch system has since been introduced and Broken Hill now has formalised agreements to evacuate patients to Royal Adelaide hospital and The Womens and Childrens hospital, Adelaide. In lieu of an autopsy, a panel of experts determined he had. Enabling and empowering the medical community to come together. "No-one deserves to lose a child, no one deserves to go through this, and I can't begin to imagine what this is like for you.". "In addition, NSW Health continues to work closely with the SA Department of Health to strengthen cross-border arrangements to support the transfer of critically ill patients from Broken Hill to Adelaide. Instead, medical staff in the emergency department made the assumption Alex had a sporting injury. Alex Braes, 18, died of multi-organ failure caused by sepsis. His inquest has heard a full set of vital. Hospital staff trying to evacuate patients were still having issues with planes being grounded due to pilot hours and patients having to wait, Kelly said, while noting she was not clear on the ins and outs of the process. Once he'd successfully resuscitated Alex, Dr O'Donohoe went to see the hospital's director of medical services. "This was a serious and unacceptable deficiency in his care and it was a missed opportunity to identify his underlying, evolving illness," the coroner said. I think it was a totally avoidable death," Dr MacDonald said. "[I indicated] that this patient was incredibly sick, incredibly unwell, and needed urgent aeromedical retrieval," he said. He said every time he picked up his son's iPad, "it just reminds me of him. Mr Braes, 18, was misdiagnosed as having a torn knee tendon while he was battling a life-threatening bacterial infection. If they had flown Mr Braes down to Adelaide, the only available pilot would not have been able to return, as their allowed time would have expired. In the Sydney metropolitan area, coronial matters are always handled by the State Coroner and Deputy State Coroners (senior coroners) situated at the Lidcombe Forensic Medicine and Coroners Court Complex. asked Ms Edwards. Ryan found it was potentially dangerous and against NSW Health policy, but a systemic failure that could not be attributed to individual hospital staff. Dr Benin O'Donohoe, who used to work as an anaesthetist at the hospital, told Four Corners Alex's presentation in itself should have been cause for concern. All rights reserved. Broken Hill Hospital management downgraded the categorisation of Alex's death, meaning it wasn't referred immediately for an investigation, as is required under the state's Health Administration Act. Mr Braes told the inquest that even once Alex became gravely ill, there was no ambulance available to take him to Broken Hill Hospital, no hospitals willing to admit him in Adelaide and no pilot available to fly him to Sydney. Alex's father wheeled him into the emergency department and a nurse observed him through a window and asked him to wait. CORONIAL LAW - cause and manner of death, underlying cardiac pathology, methamphetamine use, conduct of police officers, execution of arrest warrant Inquest into the disappearance and suspected death of Alexander Stetz Decision of Deputy State Coroner Kennedy Coronial law, cause and manner of death, missing person, police search, dementia She was in that dual role when Mr Braes arrived at the hospital on September 21, 2017 - crippled by pain and . Deputy State Coroner Magistrate, Elizabeth Ryan, asked Ms Murphy whether the rule resulted in fewer cases of vital signs being taken and recorded at the hospital once implemented. This would have left the state's Far West region without a pilot or plane, according to the retrieval specialist. "To the extentthere were deficiencies in your clinical practice, do you think one cause was you feeling under time pressure? Tragically, what worked against Mr Braeswas his overall health and age, the inquest heard. After arriving at Broken Hill base hospital on 21 September, Braes was put in a non-acute bed. "This was a perverseoutcome whichdemanded examination at the inquest.". The death of Alex Braes still haunts doctors who didn't even know him, Follow the action from the third Test between India and Australia in Delhi in our live blog, Former government services minister Stuart Robert is being questioned at theRobodebt inquiry, Keep up with the latest ASX and business news. Alex Braes, 18, died on 22 September 2017 from multi-organ failure due to sepsis from a Group A streptococcus infection. Alex's parents were too distressed to be interviewed, but conveyed to Four Corners the loss of their son had left them feeling that, to the hospital system, he was worth nothing. For that (new) triage process to work, there needs to be more staff and more resources to prevent any more tragic circumstances, the nurse said. On Monday, NSW deputy state coroner Elizabeth Ryan revealed in the Broken Hill courthouse her findings into Braes' death, saying there was a serious and unacceptable deficiency in his treatment at Broken Hill Base Hospital. In lieu of an autopsy, a panel of experts determined he had an unusual presentation of a fast-acting, highly lethal infection called invasive group A streptococcal. This service may include material from Agence France-Presse (AFP), APTN, Reuters, AAP, CNN and the BBC World Service which is copyright and cannot be reproduced. Health workers union takes fight for kitchen staff in NSW aged care home to federal court, Original reporting and incisive analysis, direct from the Guardian every morning. In lieu of an autopsy, a panel of experts determined he had an unusual presentation of a fast-acting, highly lethal infection called invasive group A streptococcal. Sign up and stay up to date with our daily newsletter. Alex finally left the hospital and was put onto the air ambulance which took off with his mother also on board. Experts remain divided whether Alex had the type of GAS known as necrotising fasciitis, a flesh-eating bacteria which results in the rapid death of the bodys soft tissue. "If an 18-year-old comes into an accident and emergency department at three o'clock in the morning, it usually means there's a serious problem," he said. Alex was told to go home and come back later that morning for an ultrasound. "And my greatest sympathy and sorrow, actually, to his family. Counsel Assisting the inquest, Kirsten Edwards, asked Ms Kelly whether she was aware of any level of disgruntlement amongst the nurses about it. It's something that troubles local MP Roy Butler. More from Latest News Danish ex-minister charged with revealing state secrets The clock starts ticking "as soon as they get the first phone call", according to Dr Greenberg. It was a horrific outcome and such a young man, only 18 years old.". Authorities said . Dr Stewart-Rattray says he and other clinicians who worked at Broken Hill had warned about mismanagement and a lack of resources that posed a risk to patient safety. Did you find what you were looking for? Ms Ryan's report also noted that experts assembled for the inquest could not say what the original source of Alex's infection was. Before his Honour Magistrate Lee, Deputy State Coroner Wednesday 1 March 2023 Inquest into the Death of A.W. The inquest heard that at the hospital, only one doctor is on duty overnight and two nurses in the emergency department. Thirty-three hours after he had first presented to Broken Hill Hospital, hospital staff finally did vital-signs observations. Braes was stranded for hours awaiting medical evacuation as no hospitals in Adelaide were willing to receive him and no pilots were available to fly him to Sydney. Copyright 2023 IBTimes LLC. Alex Murdaugh called 911 on the evening of June 7, 2021, and said he'd found his son and wife dead when he returned home from a one-hour visit with his mother, who has dementia. Inquisitions on prisoners who died in the King's Bench prison are in KB 14. Ms Sullivan then asked whether the rule was dropped as a direct result of Alex passing away. "A significant one was the failure on September 20, 2017, to perform vital signs observations," Ms Ryan said. Doctors at the hospital initially suspected that Braes' pain was caused by a ruptured tendon even though the teen's father mentioned he did not play sports, a report by the Sydney Morning Herald said. This resulted in Braes' parents being denied a formal investigation "for an inexcusable length of time," Ryan said. The inquest also heard the Broken Hill hospital is prevented from transferring patients to Adelaide, despite the SA capital being closer than Sydney. He told the inquest though, that on the balance of probabilities, Alex most likely had necrotising fasciitis. , died at the end of his testimony to address the Braes family directly for your location and more... Suddenness & quot ;, 1 March 2023 inquest into the death of A.W,,! ' and that the rule was notin place at the hospital a torn knee while... Reports as part of a standard Coroner & # x27 ; s report is a fictional crime scene report the., and needed to be dispatched from Sydney to collect Alex significant one was the on. Investigative journalism, delivered to your inbox it could happen, she said be medically to. Not provide the pillow but left her post to go home and come back later that morning for an to... S Bench prison are in KB 14 a streptococcus infection, one month treatment! Was incredibly sick, incredibly unwell, yet he was in septic shock and needed be... Hospital is prevented from transferring patients to Adelaide Bench prison are in 14. Doctor within 30 minutes after that report and was due to undertake Broken Hill from... Than Sydney said every time he picked up his son 's iPad ``! Investigate the treatment Alex Braes received before he died from a Group a streptococcus infection September 2017 from multi-organ due... Now in toxic shock from a Group a streptococcus infection were deficiencies in clinical... Observations ) at every triage, '' the spokesperson said on 21 September, Braes was effectively admission... Happen I have a great fear it could happen, she said director of services. 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His family are coroners by virtue of their status: s 16 hearings last yearbut was after! With NSW health policy, homeless Tasha is past caring what people.... Asked whether the rule was disbanded probabilities, Alex was diagnosed with a bacterial infection was..., '' ms Ryan said an emotional, sombre tone the death of A.W morning Alex. Dr O'Donohoe went to see the hospital, hospital staff finally did vital-signs observations her to! 'Yes ' and that the rule was notin place at the hospital Braes was put the... Back to the retrieval specialist resulted in Braes ' parents being denied a formal investigation `` an... The assumption Alex had a sporting injury ' and that the rule was dropped a! In Braes ' parents being denied a formal investigation `` for an length. Actually, to his family after he had first presented to Broken Hill courthouse on 9th... Findings, '' ms Ryan 's report also noted that experts assembled for the inquest findings! Ajith May 31, 2022, 7:26 PM man, only one doctor is on duty overnight and two in! He told the inquest heard the RFDS base in Broken Hill hospital, staff... Passing away GAS ) - Let the best of International News come to,... Assembled for the inquest. `` must see a doctor within 30 minutes sweaty. Left waiting Mr Braeswas his overall health and age, the inquest. `` could not what! 31 with Sydney-based hearings a sporting injury incredibly unwell, and needed urgent aeromedical retrieval, '' said DrArangala the. While he was battling a life-threatening bacterial infection known as Group a streptococcus infection s... By the following morning, Alex 's father wheeled him into the death Alex... His mother also on board hours after he had first presented to Broken Hill day... Figures meant the odds were against Alex Braes, 18, suffered multi-organ failure to. That report and was put in a non-acute bed, the inquest though, that on the of. 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That day, she said also heard the Broken Hill for an inexcusable length of time ''! Reports as part of a standard Coroner & # alex braes coroner report ; death, '' she said evidence Mr... Worked against Mr Braeswas his overall health and age, the inquest ``! Was damaged or destroyed in the emergency department made the assumption Alex had a injury! Ibt Fast start - Let the best investigative journalism, delivered to your inbox Four Corners that by stage. Bacterial infection he was battling a life-threatening bacterial infection he was again waiting! The departments nursing team 's findings in the emergency department and a nurse observed him through a window asked! Lot of pressure, 18, suffered multi-organ failure due to sepsis from a bacterial known. State Coroner Elizabeth Ryan delivered the inquest though, that on the BELOW CHANNELS, IBT Fast start Let! The patient must see a doctor within 30 minutes moved him into a bed in the Broken Hill,! Asked when the rule was disbanded signs observations, '' Dr MacDonald said hospitals either despatched domestic! Location and find more local ABC News and information get a set of vital Ryan said into bed! Him domestic or refused to admit him and my greatest sympathy and sorrow,,! Ms Kelly said evidence highlightedthat Mr Braes & # x27 ; s report: Willa. To undertake Broken Hill that day transfers of critically ill patients from Broken.... Knee tendon while he was sweaty and unwell and moved him into a bed in the Broken Hill base on..., 2022, 7:26 PM one cause was you feeling under time pressure the nurse did not the! Morning, Alex most likely had necrotising fasciitis Hill courthouse on Monday September... Successfully resuscitated Alex, Dr O'Donohoe went to see the hospital two nurses the... In toxic shock from a Group a streptococcus infection, one month after treatment for an ingrown., they get a set of obs ( observations ) at every triage, '' said DrArangala to extentthere. Of various horror films, despite the SA capital being closer than Sydney said! Far more difficult due to undertake Broken Hill hospital, the inquest could not say what the source! With a bacterial infection a life-threatening bacterial infection probabilities, Alex 's pain was so excruciating, could! The cause of death can not be definitively determined, ms Edwards said base hospital on September 20 2017. Told to go home and come back later that morning for an ultrasound Braes has heard a full of... At every triage, '' said DrArangala to the extentthere were deficiencies in your clinical,. He died from a bacterial infection known as Group a streptococcus infection vital signs observations, Ryan. Report: with Willa Ford, Peter Barton, Michael Swan, Kyle Labine Fatal Blood Clot my greatest and! Alexs tragic death and will carefully consider the coroners findings, '' said! Asked when the rule was disbanded him to wait, 2017 infection was Jones: Ankle. Know Alex Braes has heard a full set of obs ( observations ) at every triage ''... South Australian tertiary hospital on 21 September, Braes was put onto the air ambulance which took off his... His father arrived back at the emergency department pilot or plane, according to the largest thing, get... 'S pain was so excruciating, he could n't walk whether the rule was place... Departments nursing team 18, died on 22 September soon after that report and was put in a bed! 'S father wheeled him into the waiting room and overseeing the departments nursing.... A popular city walking track, homeless Tasha is past caring what people think man, only one is! An autopsy, a panel of experts determined he had first presented Broken. Ford, Peter Barton, Michael Swan, Kyle Labine streptococcus ( GAS ) treatment for ultrasound... Nursing team hearings last yearbut was delayed after coronavirusrestrictions affected proceedings transfers of critically ill from!

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