A coroner has called for more guidance on how children with deep vein thrombosis are treated, following the death of a 15-year-old from Heysham.
An inquest found Greg Richardson, 15, died from a rare DVT blood clot in the Royal Blackburn Hospital.
Preston coroner Dr James Adeley pledged to support the East Lancashire Hospitals NHS Trust, who treated Greg, in pursuing a national policy to help doctors identify and treat potential victims.
The inquest heard there were no protocols in place in the UK to deal with possible DVT in patients so young.
Greg, from Montrose Close, Heysham, suffered a lacerated liver when he came off his BMX bike at Morecambe Skate Park in July last year.
Two consultants examined a series of scans during the teenager’s 11 days in hospital, but neither of them spotted the clot in his left leg which eventually broke off and lodged in his lungs.
Coroner Dr Adeley said DVT in children was extremely rare and there were currently no guidelines for doctors in paediatric cases and he supported the East Lancs Trust in its pursuit of a national policy.
Dr Adeley, recording a narrative verdict, said: “I hope some good can come out of Greg’s death so that other children and families don’t suffer the same fate as he did.
“Neither Dr Khan nor Dr Kausa noted that in the lower part of the scan a thrombosis was present.
“Dr Porter also failed to notice it because his focus of attention was on the liver rather than the femoral vein.
“Whilst it is regrettable, I don’t have any criticism of Dr Khan’s interpretation of the scan.
“This is a desperately sad case and I will encourage the trust in their efforts to establish guidelines.”