Captain James Bedforth
18 Oct 2016 · Coroner Christopher Dorries · South Yorkshire (West)
The coroner's concerns
1. lower leg DVT not detected
“The inquest heard that the scanning practice followed after the first attendance was in accordance with NICE guidelines (indeed possibly a little in excess of the guidance) which did not include scanning of the lower leg. This was said to be on the basis that not all lower leg DVTs will be visible. Yet it became apparent that that there is mixed practice on this point, some hospitals clearly consider that lower leg scanning is worthwhile. Hindsight strongly suggested that [the deceased] was developing”