Source · Prevention of Future Deaths
Daphne Wigley
Ref: 2019-0266
Date: 20 Aug 2019
Coroner: Sonia Hayes
Area: Mid Kent and Medway
0 responses identified · 1 indexed addressee
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AI-generated concerns summaryThe coroner noted the patient experienced a fall during hospital admission that resulted in a severe traumatic brain injury, leading to subsequent palliative care.
Date
20 Aug 2019
56-day deadline
14 Sep 2019
stated in the report
Responses identified
0 of 1
Coroner's concerns
The coroner noted the patient experienced a fall during hospital admission that resulted in a severe traumatic brain injury, leading to subsequent palliative care.
Report sections
Investigation and inquest
On 12th April 2018 I commenced an investigation into the death of Daphne WIGLEY. The investigation concluded at the end of the inquest 29th May 2019. On 20th March 2018 she was admitted to hospital with heart problems and a chest infection. Diagnosed with non ST segment elevated myocardial infarction and bilateral pleural effusion. Suffered nausea and fell on the ward at 14:45 on 22nd March hitting her head. CT scan showed subdural haematoma not for surgical intervention. Treated palliatively and died on the ward at 02:45 in the presence of her family. 1a Acute Subdural Haematoma b Fall c
II Myocardial Infarction, Heart Failure, Hypertension, Breast Cancer, Lower Respiratory Chest Infection, Arthritis, Hypercholesterolaemia
Conclusion Accident
II Myocardial Infarction, Heart Failure, Hypertension, Breast Cancer, Lower Respiratory Chest Infection, Arthritis, Hypercholesterolaemia
Conclusion Accident
Circumstances of the death
Admitted to hospital with progressive shortness of breath, cough with yellowish sputum and generalised weakness. Treated with oxygen, antibiotics, medications for non-ST Elevated myocardial infarction and heart failure. On 22/03/2018 at 14:45 suffered nausea and fell hitting her head. Reviewed immediately, neurological observation ordered and CT head scan completed. Reviewed again and later was noted to be unresponsive. Discussed with Kings College Hospital Neurosurgery severe traumatic brain injury and multiple co-morbidities and was not for neurosurgical intervention and was placed on palliative care and died on 23rd March 2018.
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Report details
- Reference
- 2019-0266
- Date of report
- 20 August 2019
- Coroner
- Sonia Hayes
- Coroner area
- Mid Kent and Medway
Responses identified
Responses identified
0 of 1
1 response not yet linked
Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 14 Sep 2019 (stated in the report).
Sent to
- Medway Maritime Hospital