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Harry Procko inquest: Boy, 4, died two days after being discharged

Published 15/07/2015

A post-mortem found the cause of Harry Procko's death was dehydration
A post-mortem found the cause of Harry Procko's death was dehydration

A four-year-old boy died two days after being discharged from hospital, an inquest has heard.

Harry Procko was admitted to Nottingham's Queen's Medical Centre after GPs had diagnosed him with gastroenteritis.

Harry's father Richard Clements was told by doctors everything was "in hand" with Harry's care when he was admitted on Friday, June 20 last year, Nottingham Coroner's Court heard.

The court heard Harry was "not a well child" when he attended accident and emergency according to registrar Dr David Shearn and needed treatment for dehydration "within hours".

Harry's parents had been trying to replenish his liquids through a syringe to the mouth but this was unsuccessful.

They had raised concerns about using IV tubes to cure his dehydration as it would distress their son.

Dr Shearn said: "At that stage they were reluctant to have intervention as it would upset him."

Blood tests and the administering of intravenous fluids which were originally due to take place on the day of Harry's admission did not after a medic changed the treatment plan.

Staff nurse Sarah Redmile told the court that at 5pm the plan had been to perform the blood test and give Harry fluids though an IV, but this was changed an hour later.

"She said they weren't needed due to his clinical presentation", she added.

The family, of St Ann's, Nottingham, decided to take Harry home that night as his autism meant he was "agitated" and Mr Clements said his son would sleep better at home.

He said: "She (One of the doctors) said we could take him home but we would have to return him first thing Saturday morning."

When asked if he would have taken his son home if it contravened medical advice, Mr Clements said no.

The family returned to hospital the following day, but were told by doctors he was "looking better" and he was discharged.

But on June 23, Harry collapsed at home shortly after Mr Clements left him watching television to make a cup of tea.

He told the inquest: "I came back in and realised he was not moving about and I was trying to get some response out of him and realised he was not moving."

Mr Clements began CPR and Harry was taken by ambulance to the Queen's Medical Centre, where he was pronounced dead.

Harry's mother Maria Procko sobbed as she read her statement with assistant coroner for Nottinghamshire Heidi Connor having to finish reading the words for her.

She said: "Richard and I were taken into a room with doctors and other people we didn't know. We were told Harry was braindead and they couldn't do CPR."

A post-mortem examination found the cause of Harry's death was dehydration.

The inquest is expected to last until Friday.

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