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'Tragic set of circumstances' caused death of 11-year-old boy, inquest told

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rhall92380

Well-Known Member
Relationship to Diabetes
Type 2
A TWISTED tube, hidden from view, led to the death of an insulin-dependant diabetic aged 11, an inquest heard yesterday.

Adam Littlejohn, of Burns Close, Stanley, County Durham, had type one diabetes and congenital adrenal hyperplasia, a condition that left him vulnerable to stress and needing hormone therapy treatment.

The insulin Adam needed was pumped through a tube in his thigh.

However, a ?tragic set of circumstances?? in which a kink in the tube prevented the insulin getting into his body led to his death.

It happened last May after Adam became sick after sitting exams at school.

His parents gave him insulin, but by the early hours of the following morning, his condition had not improved and he was breathing heavily.

Paramedics took Adam to the University Hospital of North Durham, in Durham City, where he died a few hours later.

The inquest heard the cause of death was diabetic keto acidosis.

Paediatrician William Lamb told the hearing he examined the tube and found the end was kinked, preventing insulin from getting into Adam?s body.

He said it was covered by adhesive so the problem could not have been seen.

Adam?s parents had experienced the problem before, but on those occasions their son had felt discomfort and they had smelled the liquid, neither of which happened this time.

He said: ?The family cared for Adam exceedingly well ? they were totally devoted to him.

?It is just such a tragic outcome.?

He said the problem was recognised and parents were regularly warned about it.

Coroner Andrew Tweddle recorded a verdict of death by natural causes.

He said he was extremely sympathetic to Adam?s parents? situation, and added: ?It was a tragic set of circumstances that transpired all at the wrong time that led to Adam?s death.?

http://www.thenorthernecho.co.uk/ne...be_caused_death_of_Stanley_boy__inquest_told/


Richard
 
Absolutely tragic. They must be beyond devastated.
 
It is really really upsetting, I fell so sorry for the parents.
no parent should outlive thier children! =(
 
That is so sad :(
What I can not understand though is why if the tubing was kinked and no insulin getting through did the pump not alarm? They all have a safety device which activates an alarm when there is a blockage :confused:
 
I've had a 90 degree kink in a cannula twice (once on saline, once 'live'). No alarms either time. I suspected that 'some' insulin was making it through as my levels crept up over the course of an evening rather than went stratospheric straight away. Tragically this doesn't seem to have been the case for this poor lad :(
 
So tragic my thoughts go to the family.
 
This is so sad. I wonder if he was on a cgm, or whether one might have helped? It seems unusual to have such a severe reaction so fast, (i know i've had canulas go 'off' after swimming etc but always felt the rise fairly soon) - i wonder if it was his other conditions which masked the hyperglyceamia? Poor poor kid & family.
 
Very sad for family and professionals involved.

I'm just glad I don't have to trust my insulin delivery to a pump and tube.
 
I wouldn't want anyone to read that article & think 'yikes, i'm never going on a pump!!' ...i've been on my pump about a year & a half now, the only probs with canulas have been after long time immersion in water which i quickly picked up on & these days avoid by careful use of a waterproof dressing. Any time it's happened it's been eminently 'spottable', hence my wondering whether the poor kid's other medical conditions complicated things, & if so whether / why not on a cgm. Please don't let this awful case put you off pumps - my experience is that i feel safer, my quality of life & control has sky rocketed since going on a pump & i would never go back to injections willngly!! Hope that's some reassurance for anyone this case has worried...desperately sad, but probably multifaceted in the causes of the dka onset & failure to respond to extra insulin. (btw the guidancd i had for unexpected highs was extra bolus via pen not pump, & set change, so even with pump failure / occlusion you can normally still self recover )
 
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Extremely sad set of circumstances so sad for the family, my father infact knows them
 
Very sad for family and professionals involved.

I'm just glad I don't have to trust my insulin delivery to a pump and tube.

It sounds to me as if the lads pump has been set up wrong. My pump has two settings to choose from 1 of them being highly sensitive to the smallest amount of insulin causing back preasure if theres a problem with a kinked or blocked cannula or tubing. When this happens it alarms quite loudly at that.

I've had more problems with faulty syringes and needles then I have ever had with a kinked tube.
 
This is awful and very sad. I feel so sorry for the family
 
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