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Inquest uncovers delays, shortages, missed alerts in Bethan James’s fatal 2020 care

Senior coroner is probing whether a missing ambulance pre-alert, bed shortages or deferred resuscitation admission contributed to her rapid deterioration.

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Bethan James’s cause of death was found to be a combination of sepsis, pneumonia and Crohn’s disease
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Overview

  • Paramedic Aaron Hook told the court no pre-alert was sent before Bethan James reached University Hospital of Wales, leading to her being triaged on arrival
  • Hook and paramedic Laura Wilson testified that no resuscitation bed was available when James was brought in, delaying critical treatment
  • Dr Duncan Thomas described her decline as “astounding” for someone of her age and expressed frustration over the postponed transfer to the resuscitation area
  • Witnesses said James suffered a cardiac arrest after sedation and a post-mortem found she died from sepsis, pneumonia and complications of Crohn’s disease
  • The inquest before Senior Coroner Patricia Morgan continues to examine potential failures in emergency alerts, bed management and sepsis recognition