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Both acknowledged that it was unfortunate that Mr A was not reviewed earlier, and that there were issues with availability of consultants.

I also took independent advice on the complaint from a consultant cardiologist, who said that Mr A died following a critical illness, which culminated in multi-organ failure.

Mr A was admitted with a suspected stroke but developed severe diarrhoea.

His condition deteriorated significantly over the next few days and he developed a number of other symptoms, including problems with his oxygen levels, his heart and his breathing.

I accepted this advice and upheld Mrs C's complaint.

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Although he already had underlying health conditions, there was evidence of a recent heart attack and a related life-threatening condition.

My adviser identified a number of failings in Mr A's clinical care, including that the heart attack could have been diagnosed sooner, fluid therapy was not appropriately managed, and medical records were inadequate, with electrocardiogram (heart function monitor) results that were not properly labelled and that did not appear to have been compared in sequence.Advert Teacher of Technical Education (1.0 FTE) Dumfries Academy Unpromoted Teacher Scale - £26,895 - £35,763 Dumfries Academy is a six year comprehensive school (roll 609) situated within Dumfries town centre, with a...

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