Kenneth Adams
22 Mar 2023 · Coroner Bredan Allen · Dorset
The coroner's concerns
1. uncontrolled bleeding from scalp laceration in patients on antiplatelet medication
“A patient, prescribed either antiplatelet or anticoagulant medication, falling and sustaining a scalp laceration that is not”
2. inadequate MPDS assessment of persistent bleeding in anticoagulated patients
“Where a patient on anticoagulant or antiplatelet therapy sustains a fall and scalp laceration, the questions forming the MPDS protocol designed to assess the seriousness of the bleed and the prioritisation of an ambulance resource do not allow for consideration of the period of the time the bleeding has persisted from an area of high vascular blood flow or the medication prescribed”