1977: Wrong blood, wrong ambulance, dead mother

Louchrisser Jackson, a 23-year-old mother of five, was 12 weeks pregnant when she went to Dr. Robert L. Gardner for a safe and legal abortion at Reproductive Services in Dallas on November 4, 1977. Louchrisser began hemorrhaging. Gardner said that he ordered blood for a transfusion, but it didn't arrive so about an hour before her death he attempted to give her a transfusion with his own blood -- which turned out to be an incompatable type.

A private ambulance was called but was not informed of the nature of the transport. In that jurisdiction, private ambulances are only permitted to transport stable patients; they are prohibited from responding to emergency calls. Because the ambulance service had no reason to expect an emergency, they did not respond promptly, nor did they refer the transport to the fire deparment's ambulance service.

When the ambulance crew arrived, Louchrisser had gone into cardiac arrest. The crew, upon discovering that they'd been called for an emergency transport, rushed Louchrisser to the hospital immediately rather than calling for a fire department ambulance.

Louchrisser died that day. Gardner requested that the body be released without an inquiry. Another physician at the hospital learned of the case and requested an inquiry.

The autopsy found massive hemmorage of at least two liters of blood, and a "1.8 x 2 cm. ragged perforation in the right lateral wall just above the internal os of the cervical canal. This perforation commonicates freely with the retroperitoneal space on the right side. The endometrial surface of the uterus is ragged and hemorrhagic." Death was attributed to "massive retroperitoneal hemorrhage due to perforation of the uterus during a therapeutic abortion."

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