An inquest found medics treating Gordon Renfrew, 36, did not follow guidance on treatment.
BBC News
The trust has until the end of August to respond telling her what actions it will take to address issues she raised. A report of Mr Renfrew's inquest said he injured his neck diving from a high board on 31 May 2022 and that, along with damage to an artery, caused a blood clot and a build-up of fluid on his brain.
He was initially taken to the Royal Derby Hospital and later transferred to the QMC on 7 June where he underwent partially successful surgery to remove the clot.Dr Didcock said Mr Renfew underwent a decompression craniectomy - surgery to reduce pressure caused by brain swelling - on 10 June but he died four days later.In a narrative conclusion, she said: "The NICE guidance on decompression craniectomy after stroke was not followed.
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