Prevention of Future Deaths reports · 2016

Vinod Kumar

Regulation 28 report to prevent future deaths, reference 2016-0369, written 17 Oct 2016. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report17 Oct 2016
Reference2016-0369
DeceasedVinod Kumar
CoronerZafar Siddique
Coroner areaBlack Country
CategoryHospital Death (Clinical Procedures and medical management) related deaths
Sourcejudiciary.uk record · original PDF
Responses publishednone published

The report

Text extracted from the PDF text layer. Reproduced verbatim, including the scan's own layout.

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

THIS REPORT IS BEING SENT TO:

1. Chief Executive. do New Cross Hospital, Wolverhampton, West Midlands,

WVIO OQP

CORONER

am Zafar Siddique. Senior Coroner, for the coroner area of the Black Country

2

CORONER’S LEGAL POWERS

make this report under paragraph 7. Schedule 5. of the Coroners and Justice Act 2009
and regulations 28 and 29 of the Coroners (Investigations) Regulations 2013

3

INVESTIGATION and INQUEST

On the 22 August 2016 I commenced an investigation into the death of the late Mr
Vinod Kumar. The investigation concluded at the end of the inquest on 12 October 2016.
The conclusion of the inquest was a short narrative conclusion of accidental death.

The cause of death was

la
b
c

Multi Organ Failure
Group A Streptococcus Septic Shock
Necrotising Fasciitis secondary to laceration sustained from fall

+

RCUMSTANCES OF THE DEATH

I) Mr Kumar was a very active and healthy family man who attended the gym

and kept fit.

r aro rd the

O
flu ike sy pt

/ gust 2016 he was orplai
for t r this esulted

‘ns Urusua I

g of fecli ig urwe with
tak og time of work

The following day he had a fail at home and sustaned a graze to his rght
arm elbow. Hs codton ccntimjec m dece and e attended Ne Cross
H
o

t 2 afre
ed

9 A
r

Cv
o

Viu
a

see
d

al
a

n
e

g

v

a

r

in t’e Accdent ann Emergency Department he was ntiallv seen b a
Triage nurse who categorsed him
ha o y n

a eve 4 (ieast urgent and to K h s

and a o len/p irful a

d

g

f

v

He

ae arar

at rig , a I to a ar 9 c”i t a

a se c

 was extremely l and in muftorqanfaure

vii) His condition declined further and sepsis secondary to necrotising fasciitis

was dag nosed

vni) Despite surgical intervention to remove the infected tissue he died shortly

after the surgery on the 10 August 2016

ix On the balance of probability the likely source of necrotisi g fasciitis was

the graze on the arm injury

5

CORONER’S CONCERNS

During the course of the inquest the evidence revealed matters giving rise to concern In
my opinion there is a risk that future deaths will occur uriess action s taken.
in the
crcumstances it is my statutory duty to report to you

The MATTERS OF CONCERN are as follows —

1. Evidence emerged during the inquest that when he was seen initially by the
Triage nurse
too much emphasis and reliance was placed on the
significance of the fall/trauma Evidence of potential infection (swelling to his
arms) resulted in no further observations or blood tests done until some three
hours later

that

2

Evidence from the A and E Consultant emerged from the inquest which
suggested that it would have been good practice to keep the patient under
further observation before determining his
terms of
categorisation

level of priority in

6

ACTION SHOULD BE TAKEN

In my opinion action should be taken to prevent future deaths and I believe you have the
power to take such action

1. You may wish to consider reviewing your polcy!guideIines in respect of the
current sepsis policy, particularly in
light of what happened to Mr Kumar.
Evidence of swelling to his arms and the history given may have triggered an
earlie blood tcst and observations

YOUR RESPONSE

You are under a duty o respono to th s rport within e days of the date of tf is eport
na e

c b 2

by

o

c

o

ay x.

d

e

r

r5pr9c must nar deta 0’ actn akr or proposed o
oO rsco ue a

a

v

racon no cc

ak settn

COPIES and PUBLICATION

l have sent a cony of m report to the Chef Corone and to the fciowng lnteresred
Person rvirs Kmar

[iL1 PRr)TE( T

 or of interest You may make representations to me the coroner at the time of your
response about the re’ease or the pubication of your response by the Chief Coroner

Th 17 October 2016

Mr Z Siddique
Senior Coroner
Black Count!y Area

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