Aman died from a fatal overdose in hospital after miscommunication between doctors was “aggravated” through mask use, according to a coroner.
Hospital patient John Skinner was admitted to Watford General hospital suffering from seizures in May 2020.
He was given phenytoin, an antiepileptic medication. As a result of failure in verbal communication between the doctors, aggravated as both were masked, a dose of 15mg/kg was heard as 50mg/kg and an overdose was administered
The usual phenytoin to treat epilepsy, as set out on the NHS website, is between 200mg and 500mg a day for adults.
Mr Skinner was administered 3,500mg.
Assistant coroner for Hertfordshire, Graham Danbury, wrote a prevention of future deaths report to highlight his concern that a similar overdose could happen again.