Isle of Wight Ambulance Service

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First report 24 Nov 2014•Latest report 24 Nov 2014

Reports, concerns and published responses

Reports over time

Reports naming this recipient by issue year.

Reports
1

Naming this recipient

Published responses
0%

Found for named reports

Concerns addressed
0

Across all linked responses

Stated actions
0

Described in responses

Concerns and recipient responses

Statements from Isle of Wight Ambulance Service linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Isle of Wight

    AI-generated summary

    Lara Mamula · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Lara Mamula had a history of aortic dissection and Loeys-Dietz syndrome. After developing chest pain similar to that experienced during her earlier dissection, she was assessed by ambulance staff and later attended A&E, where she was diagnosed with gastritis and discharged. Five days later, she was found deceased at home; concerns included that the ambulance service did not appreciate the seriousness of her condition or the significance of her recurrent pain, and that a CT scan was not undertaken.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Isle of Wight Ambulance Service; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to advise hospital assessment for suspected recurrent aortic dissection

    Wider context from the report

    “1. During the course of the evidence, it became clear that the Isle of Wight Ambulance Service did not appreciate the gravity of the situation when they were called out by Mrs Mamula on 12th June 2013, inasmuch as they were not aware that Loeys-Dietz syndrome predisposes those who suffer from it to have repeated thoracic aortic aneurysms and dissections. Had they known that this condition was so grave and that Mrs Mamula was complaining of the same pain which she had suffered from 2 years previously which was clearly a very ominous symptom, they could have impressed on Mrs Mamula that she would have been much safer to have been taken to hospital at that point to be thoroughly checked out with a CT scan, which would have been the only definitive way to ascertain if she was suffering a new aortic dissection. ”
    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Isle of Wight Ambulance Service; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of awareness of the serious aortic risks associated with Loeys-Dietz syndrome

    Wider context from the report

    “1. During the course of the evidence, it became clear that the Isle of Wight Ambulance Service did not appreciate the gravity of the situation when they were called out by Mrs Mamula on 12th June 2013, inasmuch as they were not aware that Loeys-Dietz syndrome predisposes those who suffer from it to have repeated thoracic aortic aneurysms and dissections. Had they known that this condition was so grave and that Mrs Mamula was complaining of the same pain which she had suffered from 2 years previously which was clearly a very ominous symptom, they could have impressed on Mrs Mamula that she would have been much safer to have been taken to hospital at that point to be thoroughly checked out with a CT scan, which would have been the only definitive way to ascertain if she was suffering a new aortic dissection. ”
    Open source report
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Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026