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Promoting patient safety and medical awareness
Members can also view reports about these policy submissions in past issues of our newsletter [login required].
- Access to new orphan drug therapies and the role of the European Medicines Agency, p4 Sept 2016 newsletter
- Scottish Medicines Consortium assessment of Plenadren, p3, Sept 20116 newsletter
- Never Events, p10, June 2015 newsletter
- Gilmore review of prescription charges, p5, Sept 2009 newsletter
- Darzi review, within the AGM report 2008
This video [05:00 min], produced by the Royal Bournemouth and Christchurch Hospitals NHS Trust, describes one tragic case where omission of steroids resulted in the death of a vulnerable young man who was steroid-dependent with complex comborbidities.
The ADSHG wishes to thank the family of Robin Brett and Dr Tristan Richardson for permission to publish this video.
Adam Cash's story
Ambulance Today has published a 6 page feature about the death of this 21 year old, who died just over a year after his Addison's diagnosis. Misunderstandings on the part of ambulance staff about the risks to his steroid-dependence from a vomiting illness were a significant contributing factor to his arguably preventable death from a norovirus infection.
This poignant feature explores the various factors contributing to his death, which included misjudgements on the part of the 999 call handler and the first response crew, his family's lack of familiarity with his condition and how to respond to the risks of vomiting, as well as Adam's heightened vulnerability to circulatory complications from the norovirus infection, due to an undetected cardiac irregularity. The lessons from this tragedy are discussed in the Editor's Comment on p3, while the feature article, An Inspirational Young Man, begins on p11.