Karl Dunstan
24 Jun 2025 · Coroner Tom Osborne · Milton Keynes
The coroner's concerns
1. failure to diagnose pulmonary embolism
“investigation of a pulmonary embolism was not carried out in accordance with NICE guidance, and a request for a CT pulmonary angiogram by the consultant was rejected by the radiology department because it did not meet the threshold of the Wells score used by the Hospital and yet a D-dimer test was not completed, that if positive, would have resulted in a CTPA”