Territory Stories

Coroners Act Response to the Coronial Findings in the matter of Ms Irene Magriplis dated 21 September 2017

Details:

Title

Coroners Act Response to the Coronial Findings in the matter of Ms Irene Magriplis dated 21 September 2017

Other title

Tabled paper 426

Collection

Tabled papers for 13th Assembly 2016 - 2020; Tabled papers; ParliamentNT

Date

2017-10-11

Description

Deemed

Notes

Made available by the Legislative Assembly of the Northern Territory under Standing Order 240. Where copyright subsists with a third party it remains with the original owner and permission may be required to reuse the material.

Language

English

Subject

Tabled papers

File type

application/pdf

Use

Copyright

Copyright owner

See publication

License

https://www.legislation.gov.au/Details/C2019C00042

Parent handle

https://hdl.handle.net/10070/272337

Citation address

https://hdl.handle.net/10070/428565

Page content

"She never stopped telling me she was in pain. Never. The whole time from the start to -they put her to sleep. Her words were always, 'I'm in pain Marina. I'm burning. I'm tired,' and I kept telling her, 'It will be okay, Mum'." 90. One might ask what further or better description was required that her abdomen was awash with bile. She was in shock. She was in agony and telling the doctor she was burning inside. 91. The frustration of the family was immense. It was still present when telling the story in court. Marina described how the pleas of her tnother were continuously ignored and brushed aside by the doctors and nurses. Deterioration 92. The blood pressure of Mrs Magriplis stayed in the red zone until 9.30am. It then began to rise. By lO.OOam her blood pressure had risen sufficiently to be in the "normal" area of the Chart. 93. However at ll.OOam her oxygen saturations dropped into the red zone and by 12.00pm her blood pressure was once more in the red zone along with her respiration rate. At the time Mr Treacy was still in the operating theatre. He told me that he communicated through his anaesthetist in the theatre (who could take the calls). 94. The nurse called Dr Harbison. She said he gave her support. He prescribed Fentanyl for pain. But there was no rapid response. There was no Code Blue. 95. At 12.25pm Mr Treacy left the theatre and at 12.30pm conducted a review. The note relating to that review is not where one might think it would be amongst the other medical notes. It is on a separate sheet in the part of the file that related to the ERCP day procedures. That may indicate that the review was not at the bedside. 13 The note states: "Low BP 70/30, Low urine 30 ml/hr & dark colour- Thirsty 13 The family of Mrs Magriplis did not see Mr Treacy in HDU at that time. 17


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