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Matthew was 16-years-old when he developed appendicitis. His mum, Heather, took him to the local emergency department where he had surgery that night to remove his appendix. Matthew had complications following surgery and he stopped breathing. He was resuscitated, and was eventually transferred to the ward to recover, despite having coughed up pink foam. The following morning, Heather and her husband David received a phone call to say that Matthew wasn't breathing, and they rushed to be with him. He was transferred to Christchurch Hospital by air ambulance, with a five percent chance of survival. Once at Christchurch Hospital, Matthew had an MRI which showed his brain was not getting any oxygen. His family made the decision to turn off his life support. Matthew died of global hypoxia due to negative pressure pulmonary oedema. He should not have died and many opportunities were missed to intervene. In this video, Heather talks about the events leading up to Matthew's surgery and what happened in the two days afterward. The director of nursing at West Coast District Health Board, Karyn Bousfield, also talks about what went wrong, the systems and process that may have contributed to the outcome, and the recommendations made to improve these in the future.