Treating Patients with Sodium Nitrite Poisoning

The request was successful.

Dear Royal United Hospitals Bath NHS Foundation Trust,

Our daughter Hannah Aitken aged 22 recently took her own life by ingesting sodium nitrite. From the material we have seen so far from her inquest, we understand that there is an antidote to sodium nitrite poisoning called methylthioninium chloride, commonly referred to as methylene blue.

We request the following information :

1) Are A&E clinicians and nurses employed by the Royal United Hospitals Bath NHS Foundation Trust trained to recognise the symptoms of sodium nitrite poisoning ?

2) Are A&E clinicians and nurses employed by the Royal United Hospitals Bath NHS Foundation Trust trained to treat patients suffering with sodium nitrite poisoning with the antidote methylthioninium chloride commonly called methylene blue ?

3) Does the A&E department at the Royal United Hospitals Bath NHS Foundation Trust routinely carry the antidote methylthioninium chloride commonly called methylene blue ?

Yours faithfully,

Peter Aitken

FOIREQUESTS (ROYAL UNITED HOSPITALS BATH NHS FOUNDATION TRUST), Royal United Hospitals Bath NHS Foundation Trust

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Dear Royal United Hospitals Bath NHS Foundation Trust,

Please can you let me know when you will be able to respond to my FOIA request which I submitted on the 16th January 2024 ?

Yours faithfully,

Peter Aitken

FOIREQUESTS (ROYAL UNITED HOSPITALS BATH NHS FOUNDATION TRUST), Royal United Hospitals Bath NHS Foundation Trust

1 Attachment

Dear Peter

 

Thank-you for your email received on 16^th January 2024 requesting
information which has been processed under the Freedom of Information Act.
Your request has been considered in accordance with the requirements of
this Act. I can confirm that the Trust is holding records that are
relevant to your enquiry.

 

Request Response
Our daughter Hannah Aitken aged  1. A&E clinicians and nurses employed
22 recently took her own life by by the Royal United Hospitals Bath
ingesting sodium nitrite. From NHS Foundation Trust are trained in
the material we have seen so far the initial assessment and
from her inquest, we understand management of patients presenting
that there is an antidote to with all types of poisoning and have
sodium nitrite poisoning called access to national advice for
methylthioninium chloride, specific poisons via the National
commonly referred to as methylene Poisons Information Service systems
blue. (telephone and online access). In
cases of sodium nitrite poisoning,
  the symptoms and signs are
non-specific so unless there was a
We request the following clear history of sodium nitrite
information : poisoning the patient would be
initially managed supportively. As
  part of their initial assessment,
blood gas analysis would reveal a
1) Are A&E clinicians and nurses methaemoglobinaemia (result
employed by the Royal United available within minutes in the
Hospitals Bath NHS Foundation Emergency Department) which would
Trust trained to recognise the prompt treatment with
symptoms of sodium nitrite methylthioninium chloride alongside
poisoning ? generic supportive care.
 2. A&E clinicians and nurses employed
  by the Royal United Hospitals Bath
NHS Foundation Trust can administer
2) Are A&E clinicians and nurses intravenous methylthioninium
employed by the Royal United chloride as per the NHS Injectable
Hospitals Bath NHS Foundation Medicines Guide (Medusa).
Trust trained to treat patients  3. Methylthioninium chloride is
suffering with sodium nitrite routinely stocked in Royal United
poisoning with the antidote Hospitals Bath NHS Foundation Trust
methylthioninium chloride Emergency Department.
commonly called methylene blue ?
 
 

3) Does the A&E department at the
Royal United Hospitals Bath NHS
Foundation Trust routinely carry
the antidote methylthioninium
chloride commonly called
methylene blue ?

 

 

I trust that this information provides you with a suitable response to
your enquiry. If not and you feel that your request has not been
satisfactorily answered, then the Trust has an internal review procedure
for dealing with complaints received under the Freedom of Information Act
2000 whereby your case is presented to the Chairman for an independent
review/decision.  Alternatively, you do have the right to complain to the
Information Commissioners Office after any internal review procedure has
been exhausted. The Information Commissioners Office is an independent
body that enforces the Freedom of Information Act, the General Data
Protection Regulation and the Environmental Information regulations. The
address of the Information Commissioner is Information Commissioners
Office, Wycliffe House, Water Lane, Wilmslow,  Cheshire  SK9 5AF

If I can be of any further assistance, please do not hesitate to contact
me again.

 

 

Julie Clark

FOI Co-ordinator

Information Security Team

Health Informatics Service (E5)

Apley House

Royal United Hospitals Bath NHS Foundation Trust
Combe Park, Bath, BA1 3NG

 

Please note that I work a 9 day fortnight. With every other Monday off
from 16^th October 2023.

 

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address must be used by both parties

 

[1]www.ruh.nhs.uk 

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