The family of Shane Nolan, who died five years ago from complications associated with a heart attack, has settled a High Court case against St Luke's General Hospital in Kilkenny. Claims were made that Mr. Nolan's discharge from the emergency department was unsafe due to the omission of a repeat blood test and a crucial cardiac assessment.
A High Court case has been settled by the family of a man who died of complications associated with a heart attack more than three weeks after he was first seen for chest pain at a hospital emergency department . Shane Nolan, a 44-year-old father of four from Co Carlow, passed away five years ago.
It was alleged that he was discharged from the emergency department at St Luke’s General Hospital in Kilkenny when it was unsafe to do so because a repeat blood test used to diagnose heart problems had not been carried out. Furthermore, it was claimed there was a failure to perform a specific cardiac assessment based on Mr Nolan’s age and strong family history of coronary artery disease.The family’s senior counsel, Liam Reidy, instructed by Cantillons Solicitors, told the court that their case was that Mr Nolan died as a result of complications from a heart attack, and this could have been avoided. Counsel informed the court that liability was admitted in the case, which was settled after mediation talks. The terms of the settlement are confidential.Outside court, Ms Nolan stated that she had been seeking answers, and the settlement came at “the end of a long journey.” The case stated that Mr Nolan had an elevated body mass index, a past medical history of smoking, and a strong family history of coronary artery disease. It alleged that he woke up at 3 am on August 20th, 2020, with sharp, belt-like pain in his abdomen and chest radiating to his left shoulder. He went to the emergency department of St Luke’s General Hospital where he was triaged within 10 minutes of arrival. He underwent an ECG scan, and a working diagnosis of acute pancreatitis was made. Later, a working diagnosis of gastritis was made. Further tests were taken, but not the repeat troponin blood test, as claimed. His pain was recorded as having settled, and he was discharged home after 9 am. It was alleged that Mr Nolan continued to complain of chest discomfort over the following two weeks, and this became acute on September 1st, 2020, when he again attended the emergency department complaining of chest pain. He had another ECG, and it was thought he had suffered a type of heart attack. A stent was later inserted, but an echocardiogram on September 4th, 2020, showed significant damage to the heart. He was discharged three days later with a plan for rehabilitation and outpatient follow-up. Shortly after midnight on September 8th, Mr Nolan suffered another cardiac arrest and lost consciousness. A community defibrillator was used to shock him, and paramedics continued resuscitation, which lasted about 40 minutes. He was brought to St Luke’s Hospital and ventilated, but a CT scan showed he had suffered a hypoxic brain injury. A CT scan the next day indicated further deterioration, and Mr Nolan suffered another cardiac arrest. He was resuscitated but his condition continued to deteriorate, and he died on September 13th, 2020. Approving the division of the statutory mental distress payment, Mr Justice Paul Coffey extended his deepest sympathy to the Nolan family
HEART ATTACK HOSPITAL SETTLEMENT LEGAL CASE EMERGENCY DEPARTMENT CARDIAC ASSESSMENT FAMILY HISTORY CORONARY ARTERY DISEASE
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