Fred Reynolds
15 Jul 2021 · Coroner Sonia Hayes · Mid Kent and Medway
The coroner's concerns
1. lack of continued neurological observations
“Specialist neurology advice was given to conduct neurological observations every two hours for 48 hours following head injury. These observations were commenced but not continued. It was not possible to understand why these observations has been discontinued and there was no entry made in the medical records.”
2. delayed diagnosis of sub-dural haematoma
“Ted died on 30th October 2019 at Kent and Canterbury Hospital of an acute on chronic sub-dural haematoma operated on 7th September due to head injury.”
3. inadequate monitoring of sub-dural haematoma
“Ted had a history of low sodium and anaemia. He has CT scans that showed a non- progressive chronic bilateral sub-dural haematoma up to the 19th July following falls on the ward.”