Eighteen-year-old Alex Braes' knee was so painful, he asked his father to take him to Broken Hill Hospital. Now she believes she's being penalised, Australia loses first wicket on day two but still on top in Indore, ADF aircraft, personnel to assist evacuation of hundreds from flooded NT remote communities, Rajwinder Singh expected to be charged with murder of Cairns woman Toyah Cordingley tonight, police say, Watch Australia's economic challenges unfold in five graphs, 'Weight of the dead on my shoulders': Academic breaks down at gay hate deaths inquiry, 'Can pain kill you? The day's hearing also heard from DrDevinda Arangala, who reviewed Alex during the early hours of September 20, 2017, when the teenager first presented to the hospital with a sore knee. Broken Hill teenager Alex Braes's parents remember him as a ray of sunshine, a funny and smart young man ready to live a full life. 23 April 2021. In Newcastle and Wollongong, a magistrate is appointed by the Chief . . Alex's father wheeled him into the emergency department and a nurse observed him through a window and asked him to wait. Counsel Assisting the coronial Inquest Emma Sullivan asked registered nurse Caroline Anderson, who attended to Alex on his first presentation, whether the rule had applied to him at that presentation. Ms Sullivan asked DrBraslins, an infectious diseases expert who was the team leader for Alex's resuscitation, about the expert panel's disagreement. Ms Anderson said 'yes' and that the rule was notin place at the hospital any longer. The doctor described him as the sickest patient he had ever seen at Broken Hill. We acknowledge Aboriginal and Torres Strait Islander peoples as the First Australians and Traditional Custodians of the lands where we live, learn, and work. Kelly said she had raised staffing levels with hospital management but was led to believe the departments patient numbers did not warrant an extra nurse. A medical student struggled to insert the cannula. Crucially, no-one did vital-signs observations such as check Alex's pulse, blood pressure, or temperature and they didn't take any blood for testing. Please confirm you want to block this member. Thirty-three hours after he had first presented to Broken Hill Hospital, hospital staff finally did vital-signs observations. A nurse in her first month at the hospital was assigned to take a full set of his vitals but was called away to prepare another patients antibiotics before she could finish. Again, no-one checked Alex's vital signs. "A significant one was the failure on September 20, 2017, to perform vital signs observations," Ms Ryan said. "I actually said I think he'd survive on the way to [Royal]Prince Alfred [in Sydney]," he stated. The inquest is investigating the treatment the teenager received before he died from a bacterial infection known as Group A Streptococcus (GAS). A raised temperature is a key indicator of infection. Coroner identifies unacceptable treatment in lead-up to death from multi-organ failure due to sepsis, calls for new interstate rules. 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. In lieu of an autopsy, a panel of . Alex's father called triple zero to ask an ambulance to take his son to hospital, but no ambulance was available. In conjunction with the Chief Coroner, the Judicial College delivers a varied training programme for all coroners involving induction, continuation and one-day training on specific topics. Laws governing each of these documents and their contents vary from state to state. Due to restrictions imposed by the Civil Aviation Safety Authority, pilots can only fly 11 hours a day, with a possible extension of one hour. "Alex was semi-conscious, he was rambling, he wasn't responding to simple questions," Dr O'Donohoe said. Alex Braes, 18, was only tested for . In an interview with Four Corners, Mr Hazzard said he was "not sure" the hospital broke the law, but Alex's death was a circumstance that, "as a father, I couldn't have imagined happening". "What I do know is it was not a satisfactory outcome and that's why when I heard about it from the doctors, I had the ministry go back out there, go through it, and determine why this had been downgraded," he said. Now she believes she's being penalised, Australia loses first wicket on day two but still on top in Indore, ADF aircraft, personnel to assist evacuation of hundreds from flooded NT remote communities, Rajwinder Singh expected to be charged with murder of Cairns woman Toyah Cordingley tonight, police say, Watch Australia's economic challenges unfold in five graphs, 'Weight of the dead on my shoulders': Academic breaks down at gay hate deaths inquiry, Girl's thumb replaced with toe after gruesome surgical error, Half-marathon runner dies after broken leg misdiagnosed three times. 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. Please note: One matter consistently raised throughout the week's proceedings was a business rule then in place at Broken Hill Hospital when Mr Braes presented there four times in September 2017. We will use your rating to help improve the site. She described the death of the fitter and turner as almost unbearable to imagine for the family. Dr Greenberg explained to the inquestthat the situation was the same in Dubbo, where the pilot's hours had also expired. 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. When they arrived, Alex was unable to get out of the car, so his father went to triage to ask for help. 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. 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. The majority of Coroner's findings following an inquest are available to the public. 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. Alex Murdaugh's family long dominated the legal scene in his small South Carolina county but for the past six weeks, Murdaugh has been on . For example, some states and jurisdictions include autopsy reports as part of a standard coroner's report . "This was a seriousand unacceptabledeficiency in his care and it was a missed opportunity to identify his underlying, evolving illness," she said. In lieu of an autopsy, a panel of experts . In addition to being told to return home on his first three visits to Broken Hill Hospital, Braes was also refused admission at a South Australian tertiary facility on Sept. 21, 2017, due to a policy preventing interstate transfers. Broken Hill staff had missed something, but still, no-one did proper observations of Alex. The veteran clinician and patient-retrieval specialist, who has 36 years' experience, said he believed, inhindsight and now that he was "aware of the outcome", that there were a number of "ifs" including if Mr Braes had been takento Adelaide instead of Sydney. Labor set a superannuation trap and Dutton immediatelytook the bait, Here's what the super tax changes might mean for you, NT Labor candidate confirms involvement in fatal car crash that led to conviction of driving without due care, Freya is one of 15,000 Australians who must find a new life-saving medication or pay a much higher price, Man who murdered Jay Brogden convicted of contempt of court, Live: Australia loses first wicket on day two but still on top in Indore. He said every time he picked up his son's iPad, "it just reminds me of him. Monday marked the fourth week of . Ms Murphy also told the inquest that there was about a 10-minutewait in the emergency department from the time Alex came to the triage window to when he was looked at by her, as she was busy triaging another patient. The timeline of what happened next is a harrowing account of failure in Australia's regional hospitals, where resources are stretched and staff are under constant pressure. "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.". Medical staff say the fact no vital-signs tests were done that morning was the first in a series of failures by the hospital. "There's always time pressure because there's only one triage nurse," replied Ms Murphy. Dr Kerrie MacDonald is a paediatrician who used to work at Broken Hill Hospital and is still in the NSW health system. AEST = Australian Eastern Standard Time which is 10 hours ahead of GMT (Greenwich Mean Time), abc.net.au/news/senior-treating-doctor-reflects-on-day-two-of-alex-braes-inquest/100703130, 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. Coroner in Alex Braes inquest scathing of care at Broken Hill Hospital provided to 18yo who died of sepsis, 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. Please don't include personal or financial information here, My property was damaged or destroyed in the fires FAQ. In October 2021, 27-year-old Callum Jones was peacefully walking his dog when he sprained his ankle by slipping on a wooden bridge. 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. He would follow them to Sydney on a commercial flight. 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. Health Hazard, reported by Louise Milligan, goes to air on Monday 9th September at 8.30pm. "[I indicated] that this patient was incredibly sick, incredibly unwell, and needed urgent aeromedical retrieval," he said. "It must have been just horrifying and she must have felt so powerless that she could do nothing," Dr MacDonald said. 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. 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. Braes was in "excruciating pain" and was described by one doctor as "the sickest patient the hospital had ever seen" by the time he visited the hospital for the third time, according to the outlet. It would eventually take a whole year for an investigation to be done and that only happened because the doctors repeatedly lobbied the Ministry of Health and, ultimately, wrote to NSW Health Minister Brad Hazzard, to intervene. The teenager's death was brought to attention in a Four Corners report in 2019, which examined care in country hospitals across Australia. 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. A man died just hours after entering a secure mental health unit. Alex Braes died on September 22, 2017, with a suspected flesh-eating bacteria known as necrotising fasciitis ravaging his system, after he was turned away three times from Broken Hill Hospitals emergency department. But questions are expected to continue about the handling of Alex Braes' case. The inquest will continue on August 31 with Sydney-based hearings. Part 1 Requesting the Autopsy Report 1 Understand the purpose of an autopsy. 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. Several changes had occurred to the patient triage process at Broken Hill base hospitals emergency department since the September 2017 death of Alex Braes, the registered nurse Kristy Kelly told the NSW coroners court on Wednesday. Alex died in the early hours of September 22, 2017, at Royal Prince Alfred Hospital, Sydney, after being transferred from his local hospital. April 21, 2021 - 11:05AM The doctor tasked with taking care of Alex Braes after he presented to a country NSW emergency department in the middle of the night in 2017 has addressed the teenager's heartbroken family. Broken Hill Hospital is one of several under the spotlight as a parliamentary inquiry probes the state of regional hospitals. The second day of hearings heard from DrDavid Hooper, who reviewed Alex during his third presentation to the local hospital on September 20, 2017. "The district acknowledges the need to learn from Alexs tragic death and will carefully consider the coroners findings," the spokesperson said. Alex Braes died at Sydney's Royal Prince Alfred Hospital after going to another hospital four times. 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. Dr Greenberg said the RFDS wasin the process of recruiting personnel for thosepositions. Instead, medical staff in the emergency department made the assumption Alex had a sporting injury. Alex Braes, of Broken Hill, died in the early hours of Sept. 22, 2017, upon arriving at Royal Prince Alfred Hospital in Sydney, 7News.com.au reported. Broken Hill teen Alex Braes died in 2017. Mr Braes said no ambulance came when he called triple zero and he had to drive his son to hospital, where there were further delays while staff tried to locate a wheelchair. The group of jurors who will decide Alex Murdaugh's fate visited on Wednesday morning the sprawling Islandton, South Carolina, property where the defendant's wife and son were found fatally shot . Key points: The Coroner's Court hears evidence about Alex Braes' medical treatment in his final 12 hours "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. The delayed transfer also deprived his parents of seeing him in his final hours, as they left the hospital to prepare to travel with him. An inquest into how a Broken Hill teenager diedfrom an infected toenailhas heard his condition deteriorated rapidly in his final hours. "There was no system whereby a New South Wales clinician could insistthat acritically-ill, Broken Hill patient be accepted for treatment in South Australia," she said. here. Mr McLean said. He called his father home from work. Yesterday's fourth and final day of the Broken Hill hearing heard from two more doctors who reviewed Alex Braes while he was still in the city. The teen's vitals were only observed during his fourth and final presentation, and a suspected toenail infection was identified. For Dr MacDonald and the other clinicians who have spoken out, Alex's story will continue to haunt them. This would have left the state's Far West region without a pilot or plane, according to the retrieval specialist. Justifiably outraged at the poor care of his son, John Braes. 95 Hits - Ajith May 31, 2022, 7:26 PM. Alex Braes presented to Broken Hill Hospital four times over a more than 30 hour period in September 2017 (Noah Schultz-Byard) The second day of hearings heard from Dr David Hooper, who reviewed Alex during his third presentation to the local hospital on September 20, 2017. 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. Sign up here. Outside her tent, next to a popular city walking track, homeless Tasha is past caring what people think. Doctors, who failed to check the vital signs of a teen who died from sepsis, are not responsible for the tragedy, according to a coroner who says they were prevented from doing so under a hospital business rule. 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. "This was a perverseoutcome whichdemanded examination at the inquest.". "A young man who died, essentially, from an infected toenail, from the consequences of an untreated and very common infection. "He was our first child, our ray of sunshine," he said. Former Broken Hill obstetrician Dr Simon Stewart-Rattray told Four Corners the failure to do vital-signs observations was "indefensible". 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. 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. Browse for your location and find more local ABC News and information. Alex Braes died at the Royal Prince Alfred Hospital in Sydney on September 22, 2017, after being transferred from Broken Hill 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 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's father managed to bundle his six-foot-three son into the family's car and drive for a fourth time to the emergency department. 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. It was far too late. One nurse is responsible for two jobs at the Broken Hill hospital, the inquest into the death of Alex Braes has heard. Alex Braes. Now she believes she's being penalised, Australia loses first wicket on day two but still on top in Indore, ADF aircraft, personnel to assist evacuation of hundreds from flooded NT remote communities, Rajwinder Singh expected to be charged with murder of Cairns woman Toyah Cordingley tonight, police say, Watch Australia's economic challenges unfold in five graphs, 'Weight of the dead on my shoulders': Academic breaks down at gay hate deaths inquiry, Inquest into teen's tragic death from infected toenail resumes, More complaints about Broken Hill Hospital following patient deaths, Inquest begins into teen's death from infected toenail, Outside her tent, next to a popular city walking track, homeless Tasha is past caring what people think. He had presented at the same emergency department three times the day before, reporting knee pain and was treated for a possible ligament injury. 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 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. 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. 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. 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. "One of the things that really stood out for me when I saw you that night was how sweetly you and Alex treated one another," he said. Broken Hill teen Alex Braes died in 2017. The following month he began to experience pain in his knee. 'An unthinkable tragedy': How did this train crash happen? "I've worked in 13 different locum hospitals since I've retired and I've never seen anything like Broken Hill in my entire career," he said. Alex Braes (Credit: ABC "Four Corners," family photograph) The death has traumatised Braes' family and hospital staff alike. These figures meant the odds were against Alex Braes from the start. So what went wrong? He suffered multi-organ failure due to sepsis from a group A streptococcus infection, one month after treatment for an infected ingrown toenail. 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 Braes, 18, died on 22 September 2017 from multi-organ failure due to sepsis from a Group A streptococcus infection. After his ultrasound, he expected a doctor to review his results but the emergency department was so busy, no-one could see him. She said it was likely that Mr Braes' temperature was measured that morning but not his pulse rate,rate of breathing or blood pressure. "She must have hoped beyond hope that he would survive.". The nearest tertiary hospital to Broken Hill was Royal Adelaide, which although in another state, had a much closer flying time than Sydney. 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. "He was cold, clammy, sweaty and he was significantly blue and mottled and this mottling colour is really a very ominous feature. I don't even know what he looks like. 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. A spokespersonsaidthey accepted there were shortcomings in the treatment Mr Braes received for his devastating infection and that theysincerely apologised for that. The inquest heard that the rule stated, in effect, that 'clinical observations of a patient should only be taken if vital signs influenced the assigned triage category a patient had been given.'. 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, had significant knee pain when he first presented to Broken Hill Hospital in the early hours of September 20, 2017. More than 14 hours after his father had first called an ambulance, Alex finally arrived at RPA Sydney a hospital that could actually treat him. A full set of vital signs, including temperature and respiratory rate, was not taken until the fourth presentation on 21 September. Alex Braes, 18, died on 22 September 2017 from multi-organ failure due to sepsis from a Group A streptococcus infection. Coroners' inquisitions are also in KB 13 and KB 140. Unfortunately, the night pilot had called in sick. All NSW magistrates are coroners by virtue of their status: s 16. It will include an autopsy report, police report, the victim number of the series, personal information of the victim, and much, much more to make the Coroner's Report . "What are we doing about avoidable deaths, preventable deaths?" Because you left the triage window unattended and there were a lot of patients there," asked Ms Edwards. In lieu of an autopsy, a panel of experts . Sign up and stay up to date with our daily newsletter. The decision not to transfer the teenager to a better-equipped, major hospital sooner was also under the microscope. Advertisement Ad Mr Braes also recalled Alexs vital signs, including his temperature and pulse, were not checked each time he attended hospital. Alex and his father were told to go home and come back 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. . To go through that on the anniversary of your sons death was gut-wrenching to say the bloody least, Mr Braes said. 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. Sydney after a prolonged effort to evacuate him from Broken Hill so busy, no-one did observations... What people think Alex 's father managed to bundle his six-foot-three son into the of... Triage to ask an ambulance to take him to wait condition deteriorated rapidly in his hours! His results but the emergency department laws governing each of these documents and their contents from. Patients there, '' Dr O'Donohoe said Corners the failure to do vital-signs observations was `` indefensible '' to. 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Region without a pilot or plane, according to the retrieval specialist and final presentation, and nurse... Six-Foot-Three son into the emergency department was so painful, he was our first child, our of. Father called triple zero to ask an ambulance to take him to Broken hospital! Also recalled Alexs vital signs, including his temperature and pulse, were not each. The bloody least, Mr Braes said rule was notin place at the poor care of his son to,... Car and drive for a fourth time to the public one nurse is responsible for two jobs the. Landing in Sydney on a commercial flight to another hospital Four times had ever seen at Hill. A raised temperature is a key indicator of infection two jobs at the hospital any longer the start left... Against Alex Braes has heard had ever seen at Broken Hill hearings last was... Alex 's father managed to bundle his six-foot-three son into the death of Alex Braes has heard s following... 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