He was then given paracetamol and brought to the paediatric part of the ED, the place he was seen by registered nurse Sean Avis. Regardless of being given extra doses of Panadol and Nurofen, Troy’s coronary heart price and temperature remained excessive.
Mr Avis stated he gave the boy fluids, which he managed to maintain down.
The inquest heard nurses ready Troy for blood samples to be taken, nevertheless they by no means have been.
Counsel helping the Coroner, Lesley Whalan, stated by 1.30pm he confirmed indicators of enchancment, together with his temperature dropping to 37 levels, nevertheless his coronary heart price remained elevated.
By 2.30pm, Troy’s temperature was again to regular nevertheless his coronary heart price was nonetheless elevated.
Emergency division physician Babak Tajvidi had a session with the household, after which Troy was discharged, with Dr Tajvidi suggesting the toddler could also be affected by a viral an infection.
Nevertheless, the inquest heard Troy’s situation deteriorated in a single day and he woke the next day with diarrhoea and had begun vomiting once more.
Ms Whalan stated Troy grew to become “unresponsive” later that morning, prompting his dad and mom to cellphone triple-Zero.
They carried out CPR till paramedics arrived and transported Troy to hospital, the place he was pronounced lifeless at 12.50pm.
‘This was a tragic demise’
Ms Whalan stated an post-mortem revealed Troy had died from sepsis. “It was a micro organism referred to as streptococcus, a critical an infection that impacts the mucus of the nostril and throat and has the flexibility to invade the remainder of the physique,” she stated.
“Some can turn out to be invasive, and may turn out to be sepsis … and this was the case with Troy.”
She stated the beneficial therapy for sepsis was antibiotics, however restoration additionally relied on early detection.
“However Troy didn’t obtain antibiotic therapy. This was a tragic demise that most likely might have been prevented,” she stated. “The questions are over the administration of Troy’s demise.”
Each Ms Mason and Mr Avis gave proof that NSW Well being’s Between the Flag procedures – designed to lift crimson flags the place potential signs of sepsis have been detected – weren’t used within the emergency division.
The charts solely got here into use as soon as a affected person was admitted to a ward within the hospital.
The inquest will proceed on Tuesday in Nowra earlier than transferring to the Glebe Coroner’s Court docket on Thursday and Friday.