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Sheffield Children’s Hospital has admitted to several failings in the care of preemie twin baby Joshua Hughes who died when he was just eight months old. The baby was born with several complex medical issues and suffered brain damage which could have been prevented following a critical blood pressure drop. Although doctors agreed his brain injury was preventable, they do not believe it contributed to his death. He passed away on 9 October. His sibling was discharged. The inquest at Sheffield’s Medico-Legal Centre heard that Joshua had an incredibly rocky start, as he had serious gastrointestinal problems, sepsis and chronic lung disease.
Joshua was born in Barnsley on 17 January 2023. However, after struggling with numerous complex medical issues following his premature birth, he was transferred to the critical care unit at Sheffield Children’s Hospital on 9 May. His condition continued to worsen and on 25 June, while undergoing surgery to have a new IV feeding line fitted, he suffered a two-minute cardiac arrest. Fears about Joshua’s significantly dropping blood pressure were raised overnight, but action was only taken at 05:00 BST the next morning. This delay led to concerns about confusion over Joshua’s blood pressure target, which was not properly recorded in post-surgery handover notes.
Joshua’s mother, Kimberley Bradder, told the inquest that she noticed a significant change in her son’s condition on 27 June. His eyes no longer fixed on anything and he was no longer responsive. Consultants in paediatric neurology and anaesthesia scanned Joshua and found severe brain damage caused by low blood pressure. Dr Judith Short joined the consultant paediatric neurologist in stating that several failings had contributed to the injury. These failings included the failure to flag that Joshua might be more vulnerable to further complications post-surgery, a lack of clarity around his blood pressure target, and delayed treatment.
Responding to the case, Dr Short noted that to prevent similar occurrences from happening in the future, several recommendations had been made. These included improving handover notes and recording clear targets for the maintenance of cardiorespiratory functions. During the inquest, the doctors agreed that Joshua’s brain injury was a tragic occurrence but did not have an impact on his respiratory issues, which eventually led to his death. A statement from Joshua’s mum read out in court paid tribute to the beloved baby boy
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