on Diagnosis, Investigation, Treatment and Prevention of Acute Bacterial Meningitis in Immunocompetent Adults [5/993]. [Back]
Note 14 Bacterial Meningitis: Causes for Concern. The Research Committee of the BSSI : [5/987]. [Back]
Note 15 The General Practice Notebook (a UK medical reference on the World Wide Web). [Back]
Note 16 See the Appendix containing a full glossary of medical terms. [Back]
Note 17 Aronin et al : Community-Acquired Bacterial Meningitis: Risk Stratification for Adverse Clinical Outcome and Effect of Antiobiotic Timing [5/1008]. [Back]
Note 18 Van Dueren et al at 5/972, op.cit. [Back]
Note 19 Practice Guidelines for the Management of Bacterial Meningitis [ISDA Guidelines]: Tunkel et al. [5/ 946]. [Back]
Note 20 The Glasgow Coma Scale or GCS is a neurological scale that aims to give a reliable, objective way of recording the conscious state of a person for initial as well as subsequent assessment. A patient is assessed against the criteria of the scale, and the resulting points give a patient score between 3 (indicating deep unconsciousness) and either 14 (original scale) or 15 (the more widely used modified or revised scale). [Back]
Note 21 N. Begg et al. op. cit. [Back]
Note 22 N. Proulx et al, Delays in the administration of antibiotics are associated with mortality from adult acute bacterial meningitis [4/751]. [Back]
Note 23 1/C26 at C32. [Back]
Note 24 The AA Route Planner suggests that the only route between these two points, confirmed by the Claimant in her oral evidence as being via Christmas Hill, is a journey by car of about 14 minutes. [Back]
Note 25 3A/297 [Back]
Note 26 3A/294 [Back]
Note 27 3A/293 : Ceftriaxone is a third-generation cephalosporin antibiotic having broad-spectrum activity against Gram-positive and Gram-negative bacteria.
[Back]
Note 28 3A/295 [Back]
Note 29 there was an 'Anaesthetics' review at midnight which recorded the Claimant as being 'more awake now but agitated +++, unco-operative, variable pupil diameter' and recommended a CT scan [3A/293]. [Back]
Note 30 3A/300 to 302 : the reference to 'staff' is likely to refer to ambulance staff. [Back]
Note 31 3A/300 [Back]
Note 32 3A/305 [Back]
Note 33 3A/310 [Back]
Note 34 3A/308 [Back]
Note 35 3A/308 [Back]
Note 36 3A/310 [Back]
Note 37 PCR (short for Polymerase Chain Reaction) is a laboratory tool that is used to focus in on a segment of DNA and copy it billions of times over. In this case it was employed to identify the bacteria responsible for the Claimant's infection (see paragraph 57 supra). [Back]
Note 38 3A/308 [Back]
Note 39 3aq/311 [Back]
Note 40 3A/316 [Back]
Note 41 3A/322 [Back]
Note 42 3A/326 [Back]
Note 43 3A/327 - 329 [Back]
Note 44 3A/329 and 330 : papilloedema is swelling of the optic disc due to raised intracranial pressure. [Back]
Note 45 3A/339 [Back]
Note 46 3A/345 [Back]
Note 47 3A/350 [Back]
Note 48 3A/353 [Back]
Note 49 3A/356 [Back]
Note 50 3B/679 [Back]
Note 51 3B/680 [Back]
Note 52 See additional documents at 1/81pp - 81rr. [Back]
Note 53