The Pediatric Cardiac Surgery Inquest Report



The case of Gary Caribou

Background and diagnosis
The decision to operate
Pre-operative condition
Conclusion as to Gary's pre-operative status
The operation - March 14
Post-operative course
Autopsy findings

Was there an inappropriate delay between the time of Gary's diagnosis and the date of the operation on his heart?
Was Gary's mother provided with sufficient information to allow her to give informed consent to the procedure?
Was Gary healthy enough to undergo an operation?
Did the length of surgery contribute to his death?
Did a post-operative abdominal drainage procedure contribute to his death?
What was the cause of death and was it preventable?

Post-mortem issues



Current Home - Table of Contents - Chapter 6 - The case of Gary Caribou
Next Issues
Previous The start-up; Summary
Section 1 Chapter 1 - Introduction to the Issues
  Chapter 2 - Pediatric Cardiac Issues
  Chapter 3 - The Diagnosis of Pediatric Heart Defects and their Surgical Treatment
  Chapter 4 - The Health Sciences Centre
Section 2 Chapter 5 - Pediatric Cardiac Surgery in Winnipeg 1950-1993
  Chapter 6 - The Restart of Pediatric Cardiac Surgery in 1994
January 1, 1994 to May 17, 1994
  Chapter 7 - The Slowdown
May 17 to September 1994
  Chapter 8 - Events Leading to the Suspension of the Program
September 7, 1994 to December 23, 1994
  Chapter 9 - 1995 - The Aftermath of the Shutdown
January to March, 1995
Section 3 Chapter 10 - Findings and Recommendations
Appendix 1 - Glossary of terms used in this report
Appendix 2 - Parties to the Proceedings and counsel
Appendix 3 - List of witnesses and dates of testimony
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