“During the course of the evidence, it became clear that the Isle of Wight Ambulance…”
Dated 24 Nov 2014, from the coroner for Isle of Wight. Sent to 2 organisations or people.
A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.
The 56-day response deadline
Deadline passedReplies were due by 19 Jan 2015. A reply may have been sent and not yet published.
Organisations that receive a report must reply to the coroner within 56 days, saying what they will do or why they will do nothing. We show whether a response is published on judiciary.uk.
- Report dated24 Nov 2014
- Deadline19 Jan 2015
- Published on judiciary.uk24 Nov 2014
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Isle of Wight Ambulance Service | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 19 Jan 2015. A reply may have been sent and not yet published. |
| Isle of Wight NHS Trust | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 19 Jan 2015. A reply may have been sent and not yet published. |
The coroner’s concerns
– 1. During the course of the evidence, it became clear that the Isle of Wight Ambulance Service did not appreciate the gravity of the situation when they were called out by Mrs Mamula on 12th June 2013, inasmuch as they were not aware that Loeys-Dietz syndrome predisposes those who suffer from it to have repeated thoracic aortic aneurysms and dissections. Had they known that this condition was so grave and that Mrs Mamula was complaining of the same pain which she had suffered from 2 years previously which was clearly a very ominous symptom, they could have impressed on Mrs Mamula that she would have been much safer to have been taken to hospital at that point to be thoroughly checked out with a CT scan, which would have been the only definitive way to ascertain if she was suffering a new aortic dissection.
An extract. Read the full report, including the circumstances of the death, on the Courts and Tribunals Judiciary website.
- Source
- judiciary.uk, Prevention of Future Deaths reports, 2014-0508
- Added to Minute Book
- 8 Oct 2026
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- We show short extracts and link to the original. We don’t host the full report.
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Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0
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