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Jun 4, 2014 · Early on the morning of 29 March 2005, Martin Bromiley kissed his wife goodbye. Along with their two children, Victoria, then six, and Adam, five, he waved as she was wheeled into the operating theatre and she waved back.
Feb 28, 2024 · Sarah Jane Bromiley, 49, stopped practicing as a veterinary surgeon in 2008 after she had her first child, and instead began working as a practice manager at her husband’s dental surgery in...
- Grace Newton
- 46 sec
Mar 21, 2013 · If someone you loved - your wife or husband - died unexpectedly in a hospital during a routine operation you'd have a right to feel angry.
- 3 min
- Dr Kevin Fong
- Communication
- Have A Plan
- Listen to All The Team Members
- Take Control
Communication between team members is crucial and in Elaine’s case, the communication process dried up completely. There were three senior and experienced doctors in the room – two anaesthetic consultants and an ENT consultant. They did not communicate with each other and nobody actually vocalised what was happening (i.e. this patient is in trouble...
This team planned to start with a laryngeal mask but when this failed the only alternative considered was tracheal intubation. They did attempt to use different mask sizes for bagging, but other than that the attempts to intubate persisted for 25 minutes in spite of the sats being 40% throughout. Before starting any procedure, there should be a cle...
In Elaine’s case, as well as the three doctors, there were three experienced nurses. Although the doctors did not appear to recognise the seriousness of the situation, the nurses did. During the resus, one of the nurses fetched a surgical airway kit and told the consultants that she had brought it in – but there was no response. One of the other nu...
In this case, the lead anaesthetist ‘lost control’ and there was no clear leadership. Someone must take charge of any resus situation. It is their job to share what is actually happening, keep an overview of the whole situation and plan for alternatives. Without a good leader, there are just lots of people working independently to achieve their own...
- 14 min
Elaine suffered catastrophic brain damage and died 13 days later. In this video by the Clinical Human Factors Group (CHFG), Mr Martin Bromiley, her husband and an airline pilot, introduces the concept of Human Factors and Ergonomics (HFE) in healthcare.
Self-Improvement. In this two-part episode i speak with Martin Bromiley about the tragic case of his then wife Elaine who In 2007, died due to a medical error.
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Introduction. This independent review was commissioned by The xx Clinic in response to the death of Mrs Elaine Bromiley. The review had been requested by the deceased’s husband, Mr Martin Bromiley, as a means of ascertaining, as far as possible, the events that lead to Mrs Bromiley’s demise.
