Prabhabai Cangi
5 Jun 2026 · Coroner Andrew Walker · North London
The coroner's concerns
1. delayed or omitted hospital transfer for abnormal ECG
“no clear pathway for interpretation of ECG traces to a specialist doctor, when attending paramedics decide, where an ECG trace taken at the scene show abnormal automated interpretations, not to convey a patient to hospital”
2. lack of guidance on ECG sharing with GP
“where the ECG is abnormal, the patient was not advised should show the copy of the ECG to their GP (unless the patient is taken to hospital)”
3. unclear ECG documentation in records
“there is no guidance on photograph of the ECG uploaded to the record of attendance being clear and readable”