A talented music suffering a pulmonary embolism was sent with Antibiotics – Days be Returning to a & E and Dying as he washave 10 hours to be sue.
Ellis Thompson, 31, A Graduate of Royal Northern College of Music, Was a gifted Classical Musician Who Taught Violin and Piano But Attended Manchester Royal Infirmary (MRI) in May 2022 Feeling Unwel.
An Inquest at Manchester Coroner's Court Heard Ellis was suffering a Deadly Embolism but Medics misdiagnosed it as a chest infection and he was sent home with analgesics.
However still unwell, ellis returned to the mri two day late and when waiting hours to be collapsing and tragically died on the morning of 17th May.
On Tuesday, Coroner Zak Golombeck Concluded: “There was a failure in ellis 'care that more than minimally contributed to Ellis'.”
The hearting was toold how ellis, original of gloucestershire, first attended mi's a & e on 14th May 2022 after suffering with shortness of breath for five days.
A DOCTOR CARRED OUT ASSESTION Which included a check in his calves for thrombosis – a check which is normal suggests a suspicion of pulmonary embolism.
But Despite Insufficient Evidence to Rule It Out Ellis was diagnosed with a lower response tract infection and discharged with antibiotics.
In his right, Mr Golombeck Said That The Doctor “Must have had Had Enough Suspicion About a Pulmonary Embolism to Undertake an Examination of His Lower Limbs.”
Two days later on 16th May, ellis returned to the mri at 9.15pm and was tried as a 'yellow' category, meaning he should be sewin anno.
His inquest concluded he should be classed as 'orange', meaning he would have been assessed by a clinician with 10 minutes.
Instead, ellis waited for nine hours and 45 minutes Before Collapsing at 7am on 17th May. He passed away from a cardiac arrest brought on by pulmonary embolism.
Ellis Had Been Waiting for Medical Attention in a Temperary Waiting Rooom, which at the time was a hoted marquee attached to the main account and emergency waiter.
This was to allow for social distancing during the coronavirus pandemic, in line with nhse guidelines. The Coroner Said Had His Embolism been Spotted Earlier on his first visit, treatment may have been effective.
Tragically, by the time ellis returned to a & e on 16th May, Mr Golombeck Found there was only Small Possibility His Death Here was avided.
The Mri's Consultant in Emergency Medicine Dr Alan Grayson Explained That When Ellis First Arrived, His Symptoms would not be not to lead to a diagnosis of Pulmonary embolism.
He Claimed: “There are lots of features that are not special. These signs do occur on people with pulmonary embolism, but they occur on people with lots of Other Conditions.
“I would want the doctor to come up with a range of diagnosis and treatment the most like thing.”
However the Coroner Rejected this, Arguing How The Check on Ellis' Calves on 14th May Indicated Elready A Blood Clot and Pulmonary Embolism Concern.
Mr Golombeck Added: “This was present and should have been diagnosed and treated during the deceased's first presentation.”
MRI WAS also criticised over the long wait times which saaw ellis have to wait nearly 10 hours despite being treated as a urgent case.
Dr Grayson Told The Court: “He should be able to be earlier than he was. We get that wrong and that's an error on our part.”
Reaching a Narrative Conclusion, Mr Golombeck Said: “The deceased from natural cases, with a decision to discharge he with full and pro would have led to a diagnosis of pulmonary embolism and Appropriete Treatment. “
A Spokesperson for Manchester University Nhs Foundation TRUST SAID: “We would like to be on the same way to mr Thompson's family Still in Place.
“The Trust will careifly study the Coroner's Findings to Identify and imprint any Further learning.”