Chloe Lumb

1. 1. lack of clinical guidance for suspected aortic dissection

   “There was no clinical guidance or pathway within the Emergency Department of the hospital for patients presenting with suspected aortic dissection that should have included a directive to ensure that an ECG gated CT scan is carried out to exclude the possibility of such condition”

2. 2. no alert mechanism for genetic risk of aortic dissection

   “When the Emergency Department were contacted by Ms [name redacted] on 5th January 2021 there was no mechanism by which staff were alerted to her genetic risk of aortic dissection leading to advice merely to contact her GP”

3. 3. absence of prior guidance for suspected aortic dissection

   “The trust identified these shortcomings prior to the Inquest and have produced a guidance or pathway document for use in the Emergency Department for suspected aortic dissection called 'Management of Adult Patients with Suspected or Proven Acute Aortic Syndromes including Aortic Dissection'”

4. 4. lack of standard operating policy for genetic risk patients

   “Additionally they produced a Standard Operating Policy to ensure that those patients identified with genetic conditions predisposing to acute aortic syndromes have an Emergency Heath Care Plan and a CPI flag”

No published response was found on judiciary.uk.