Jake Lawler

“the significance of 12 lead ECG readings are regularly missed or misunderstood by clinicians which means that key warning signs are missed as in [the deceased]'s case. It is unclear if this is a training issue or the way in which the machines report or volume. Without an improvement there will be further avoidable deaths”

“[the deceased] presented with a clear paediatric exercise induced syncope. The inquest was told that there is no clear national guidance on the pathway to be followed in relation to such children although medical training emphasised that this should be treated as a red flag event”

“The diagnosis of exercise induced asthma appeared to be based on a history given at the early stages of his breathlessness being reported to the GP and was not revisited even when he was reporting that the classic treatments were not having a significant impact on his symptoms. This was compounded by the exercise induced syncope being incorrectly linked to asthma”

“ECGs to rule out a possible cardiac issue cannot easily be given to children in a community setting”