Transcript of calls as man lay dying after Royal Bolton scan

David Horsman suffered from multiple organ failure after having an anaphylactic shock during a regular CT scan at a mobile unit in the car park of the Royal Bolton Hospital as a result of a rare reaction to 'contrast dye', which is injected to help highlight areas of the body on the scan.

Radiographer Idongesit Okon asked for a hospital ‘crash team’ to be sent to the CT van in a call at 15.58, but the team did not arrive for 17 minutes after being sent to area E5, on the hospital's paediatric ward.

Full transcripts of the calls are below, with the call recordings embedded in a video.

Coverage from day one of the inquest can be found here. Coverage from day two of the inquest can be found here.  Coverage from day three of the inquest can be found here. Coverage from the final day can be found here.

 

Transcripts have been provided by the coroners’ court.

Cardiac Arrest – Sunday 27th March Mobile CT Van, A block Car Park

First call from CT radiographer Idongesit Okon to hospital switchboard's Anne Parker via hospital's internal emergency 2222 number.

First Emergency Call, 15.58

AP – Anne Parker

CT – CT Van

AP – Hello Emergency

CT – Hello

AP – Emergency

CT – Yeah, please we have an emergency at the CT van, the patient reacted to contrast please

AP- which department do you need

CT – CT van CT van… Hello

AP – Hello Is It Cardiac Arrest or

CT – yeah, the patient had a reaction to eeerm contrast and he’s feeling a little bit redness and

weakness

AP – Is it a child

CT – sorry

AP – Is it a child you’re talking about

CT – is it what

AP – is it a boy, girl, man or woman

CT – it’s a man, it’s a man

AP – so is it a Cardiac Arrest on E5

CT – yes please

AP – I’ll put the call out, thank you

CT – Ok please come over quickly please

AP – I’ll put the call out thank you

Second Emergency Call, 15.59

Second call from CT radiographer Idongesit Okon to hospital switchboard via hospital's internal emergency 2222 number.

AP – Hello Emergency

CT – Yeah please we have an emergency

AP – I’m just I’m putting the call out Sir I’ve had a call I’m just putting the emergency call out

CT – Ok I just spoke with you

AP – is it is it an Adult Cardiac Arrest

CT – Yeah at the CT van please ok

AP – I’ll put the call out thank you

CT – Alright

Third Emergency Call, 16.03

Third call from CT radiographer Idongesit Okon to hospital switchboard via hospital's internal emergency 2222 number.

AP – Hello emergency

CT – Last emergency we still need you at the CT van please

AP – is it an, I don’t understand are you on E5 the children’s ward

CT – No we are at the sight, um um A block the CT van just close to the covid centre

AP – You’re on A block car park

CT – Yes A block car park yes where we have the MRI scanner too

AP – you said it was on E5 I asked you was it E5 and you said E5

CT – Oh I didn’t get that

AP – You have to be precise Doctor I’m sorry I’ve just had all the callers going to E5

CT – Please please A block car park, A block car park just by the covid centre

AP – You’ll have to call the Ambulance lovie if it’s outside you’ll have to dial 999 if you stay on the

line I’ll get you through to 999

CT – Ok please

AP – Thank you – for goodness sake

Fourth Emergency Call, 16.04

Call from switchboard's Anne Parker to CT radiographer Idongesit Okon.

AP – Hello I’ll put you through to 999 hold the line

Fifth Emergency Call, 16.05

Call from site co-ordinator Claire Blaydon to hospital switchboard's Anne Parker.

AP – Hello Switchboard

Claire – It’s Claire Site Co-ordinator, what’s going on

AP – Right what’s going on is, I’m out of my head here, this man phones up

Claire – Sorry

AP – This man phones up for a Patient who’s poorly I said where are you, he said E5, I said is it man,

woman, child, girl, boy he said a man so I said is it E5 echo 5 Cardiac Arrest and he said yes. So then I

put the call out then he phoned up a few minutes ago he said I made a mistake it’s on the car park

Claire – So there’s a Cardiac Arrest on the car park

AP – I, I he’s got through to the ambulance, sorry

Claire – Sorry love, do we know which car park it is

AP – A block car park

Claire – A block, and is there an ambulance going out there

AP – yes I put him through to the ambulance, he made me, oh I feel so ill

Claire – no no it’s ok it’s ok

AP – I did ask him, I repeated everything

Claire – Right that’s fine, ok

AP – I said E5 Adult Cardiac Arrest and he said yes

Claire – but he said now there’s a Cardiac Arrest on the on A block car park

AP – A block car park yes where the scanner is

Claire – It’s a lot different from E5 isn’t it, is he playing silly beggars this guy do you think

AP – I don’t know he’s a foreign Gentleman

Claire – right ok and er you called and you called an ambulance to respond yes

AP – Yes I have yes

Claire – Ok lovely, alright darling thanks for your help bye love bye

AP – Bye

TRANSCRIPT OF 999 TELEPHONE CALL

Call from CT van's Idongesit Okon to North West Ambulance Service after being transferred to 999 by hospital switchboard's Anne Parker.

NWAS: Ambulance service, is the patient breathing?

IO:    Yes the patient is still breathing though the pulse is fine but we need you as fast as possible because it is a contrast reaction please

NWAS: It is an allergic reaction to contrast?

Male:    Yes please  (?? ) please

NWAS: OK, right tell me, is the patient awake at the moment?

Male:    The patient is not conscious because he is gradually getting worse

NWAS: Right, OK, is the breathing noisy?

Male:    The breathing is not noisy

NWAS: OK, right.  An allergic reaction to contrast

Male:    We need a rapid response please because he is in a very terrible state

NWAS: Yeah, ok.  I understand.  What is the address of the emergency?

Male: This is by Churchill Drive, A block, where we have the Covid Centre.  Where the Covid Centre is and where MRI scanner is.  Where we have the CT van, I’m at the CT van.

NWAS: So are you actually at the Royal Bolton Hospital?

Male: Royal Bolton Hospital

NWAS: OK, right.  And you say its Block A

Male: Block A car park

NWAS: OK, Block A and its by the CT scanner.   Can you confirm, its by the CT, hello, hello, hello

Female: Can I help you

NWAS: Has the line cleared?

Female: It has yes.

NWAS: OK thank you.

Transcript of telephone call – North West Ambulance Service to Royal Bolton Hospital

Call from North West Ambulance Service switchboard to Royal Bolton Hospital switchboard's Anne Parker following 999 call.

(Greeting from Royal Bolton Hospital switchboard)

(Phone ringing out)

NWAS Male: I’m just waiting for the AP, it’s the bog standard number, the switchboard

(Phone ringing out for 2 mins  21 seconds)

AP: Hello, Royal Bolton

NWAS Male: Hello, this is NWAS.  We have had a call from some gentleman about a patient who has had an allergic reaction to contrast.  Before I managed to get any information, he cleared on me. 

AP: I don’t know if it is a false call or he told me it was a cardiac arrest on ward E5.  I think he said A Block car park, he doesn’t understand much English. 

NWAS Male: All right, ok, so, can you just confirm because we are actually well, its actual hospital so if somebody had cardiac arrest, are crash team on the spot.

AP: If it is outside of the hospital

NWAS Male: So it is outside

AP: Yes, outside the hospital on the car park

NWAS Male: OK, car park at C block.

AP: A, A for Alpha

NWAS Male: A block, OK.  I can see that we have allocation, I am just going to put this in the note for the despatcher, could you just bear with me please?

AP: I will

NWAS Male: Right, so that’s A block.  Just confirm, it’s a cardiac arrest

AP: He told me, I was informed it was a cardiac arrest.

NWAS Male: Right

AP: Like I said he didn’t speak much English, he told me he was on ward E5, which apparently is on a car park

NWAS Male: Right OK

AP: So, it’s A Block car park

NWAS Male: A Block car park, ward E5

AP: Yes

NWAS Male: OK, thank you. Right would it be possible for you to try to connect me to him

AP: I don’t know who he was

NWAS Male: All right, if you can’t, that’s fine.  We already have a unit at the scene anyway, I mean at the hospital, its just the case of location but like I said, as far as can see we have one emergency ambulance at the scene anyway.  I am just waiting for the despatch to, you know, obviously to pass the message I have given them go to Block A car park, ward E5.

AP: OK

NWAS Male: All right, thank you for that

AP: Thank you, bye.

NWAS Male: Bye.