Mitica Marin
12 Mar 2020 · Coroner Graeme Irvine · London East
The coroner's concerns
1. delayed defibrillation
“The LAS serious incident investigation identified a 4-minute delay between LP15 defibrillator pads being placed on Mr [name redacted] chest and the administration of the first shock. During this period Mr [name redacted] heart was in a shockable rhythm.”
Responses
2020-0066-Response-from-Association-of-Ambulance-Redacted.pdf ↗· Department of Health and Social Care
Stated action · June 2019
“we issued our revised guidance to the UK ambulance services in June 2019”
2020-0066-Response-from-Dept.-Health-and-Social-Care-Redacted.pdf ↗· Department of Health and Social Care
2020-0066-Response-from-London-Ambulance-Service-NHS-Trust-Redacted.pdf ↗· London Ambulance Service
Stated action · 28 October 2019
“the LAS has produced clinical update material to mandate that on all cardiac arrests the LP15 defibrillator should initially be placed in AED mode.”
2020-0066-Response-from-Resusciation-Council-UK-Redacted.pdf ↗· Resuscitation Council
2020-0066-Response-from-Stryker-Corporation-Physio-Control-Redacted.pdf ↗· Physio-Control UK Ltd