Jack Dulson

On 12/05/14 commenced an investigation into the death of Jack Dulson aged 9 years: investigation concluded at the end of the inquest on 05/08/14. The conclusion of the inquest was that Jack died from natural causes due to pericarditis:

Jack had been a previously fit and well young He became lethargic and developed knee pain and a temperature resulting in his parents taking him to Hospital Stoke on Trent on 07/03/14_ He was diagnosed with a viral illness and discharged home_ He appeared to make a recovery until the 25/03/14. At that time he was lethargic and couldn't swallow. He was seen by his GP. A blood test was arranged. This was undertaken on 27/03/14 at City Hospital: The results were available at the GP surgery on 27/03/14. They confirmed a CRP of 169 (very high and indicating infection) and anaemia. The results were not reviewed by juntil the family requested an appointment which took place at 17.50 on 28/03/14. At that time Jack was seriously ill and was admitted as an emergency to Hospital where he was diagnosed with pericarditis causing a pericardial effusion: He was transferred to Birmingham Children's Hospital on 29/03/14. He had insertion of a pericardial drain on 31/03/14. He appeared to be making progress until he suffered a sudden cardiac arrest on 03/04/14. He could not be resuscitated and passed away at 22.45_ The evidence at the inquest confirmed that earlier treatment and diagnosis would not have made a difference to the outcome

In my opinion action should be taken to prevent future deaths and believe you have the power to take such action: