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Investigation and inquest
On 15/10/2019 I commenced an investigation into the death of Richard KING, aged 73. The investigation concluded at the end of the inquest on 10th March 2020. The conclusion of the inquest was a Narrative Conclusion as follows:
Paramedics were called to the deceased’s home on 12th October 2019. The failure of the paramedic to conduct detailed observations resulted in a lost opportunity to render further medical treatment and he died of a ruptured dissecting abdominal aortic aneurysm.
His cause of death was:
I a Rupture of Dissecting Thoraco-Abdominal Aortic Aneurysm
II Hypertension
Circumstances of the death
Mr King complained of a sudden acute pain in his back on 12th October 2019 his home address. His son called the Ambulance Service and a paramedic attended.
The paramedic failed to carry out recognised observations and gave pain killing medication.
The son attended again later the same day found him unresponsive. He was confirmed dead by attending ambulance crew.
Coroner’s concerns
The paramedic who attended the deceased originally did not follow recognise protocols and procedures.
The procedure should be reviewed and if necessary revised to ensure that the seriously ill patient is transferred to hospital for a full assessment.
Information checked against the published report and official responses