A jury has found that a 28-year-old father-of-five, who was sent home from hospital on three occasions after he had complained of headaches, died of a brain haemorrhage.
Evan Morrissey, from Cashel in Co Tippeary died at Cork University Hospital 20 days after he first sought help at South Tipperary General Hospital 2014.
His partner Gwen Bradley was pregnant with their fifth child.
Mr Morrissey had gone to the South Tipperary General Hospital complaining of severe sudden onset headache, vomiting and neck pain.
He was sent home three times before a scan on his fourth visit, on 18 March, showed he had large bleed to the brain.
Consultant Radiologist Dr John Hynes of South Tipperary General Hospital told the Coroner's Court that this CT brain scan showed that Mr Morrissey had an acute and devastating intracranial haemorrhage, which had occurred within the previous two days at the most.
A previous scan on 7 March had come back clear.
Mr Morrissey was transferred that evening to Cork University Hospital but despite medical intervention died four days later, on 22 March 2014.
The court was told that new guidelines, including a checklist to identify red flag issues, has since been introduced for emergency department staff at the Tipperary hospital.
The jury of four women and two men returned a narrative verdict i.e. a verdict in line with the medical evidence that Mr Morrissey was transferred after a number of admissions to South Tipperary General Hospital to Cork University Hospital, where he died from a haemorrhage from a re-bleed from a cerebral artery aneurysm.
Coroner Philip Comyn extended his deepest sympathies to Ms Bradley on the loss of her soulmate and partner and to their five children.
He also wanted to acknowledge the generosity of the family who donated his organs so that others could have the hope of life.
