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recurance

Keith Martin

5 Feb 2014 · Coroner Karen Henderson · Surrey

The coroner's concerns

  1. 1. delayed initial assessment

    “The length of time taken to initially assess Mr [name redacted] in A&E, given his presenting symptoms”
  2. 2. symptoms not appreciated

    “The significance of Mr [name redacted] symptoms were not appreciated at triage”
  3. 3. delayed ECG and blood tests

    “The length of time taken to undertake an ECG and blood tests after initial triage”
  4. 4. delayed test results

    “The length of time taken to receive the results of these tests”
  5. 5. troponin rise not acted upon

    “The significance of the rise in troponin was not appreciated or acted upon promptly”
  6. 6. delayed senior review

    “The length of time taken for Mr [name redacted] to be reviewed by a senior member of staff”

Responses

No published response was found on judiciary.uk.

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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Keith Martin · Recurance