Baby died after hospital monitor volume was too low
Summary
A baby named Ismaeel Islam died at the Royal London Hospital’s special care unit after a medical emergency went unnoticed. The alarm on his monitor was set too low to be heard, delaying help during a critical health event.Key Facts
- Ismaeel Islam was under six months old when he died on March 7, 2025.
- He suffered a drop in oxygen levels and stopped breathing on November 3, 2024, but the alarm volume was too low to be heard.
- The alarm was silent for about 30 minutes, delaying medical attention.
- The nurse was caring for another baby and could not see Ismaeel at the time.
- The coroner issued a report warning about low alarm volumes and called for alarms to be fixed at maximum volume or locked.
- The hospital has started making changes to improve alarm sounds and baby monitor visibility.
- The alarm system is made by Masimo UK, which must respond to the coroner’s report within 56 days.
- The coroner stated that if the emergency had been noticed sooner, Ismaeel could have been saved.
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