Recurance · prevention of future deaths reports
Pre-inquest brief
Absence of on-site defibrillator during training
The earlier warning
David Efemena · 8 Sept 2015 · Nadia Persaud, London (East)
“The lack of an AED and AED trained first aider at this type of cadet activity, poses a risk to future cadets.”
judiciary.uk/prevention-of-future-death-reports/david-efemena
What was promised
No published response from Ministry of Defence was found for the earlier reports.
What recurred
- 28 Jul 2023 · Benjamin McQueen · Rt Hon Sir Ernest Ryder · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · David Efemena · 8 Sept 2015
“The lack of an AED and AED trained first aider at this type of cadet activity, poses a risk to future cadets.”
Later · Benjamin McQueen · 28 Jul 2023
“I am concerned that in such safety-critical military diving training, the dive support staff did not have available to them a defibrillator of their own either on the supporting safety boats or on land.”
What happened next
No web check of the stated actions has been published for this chain.