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Romeo Esposito

15 Mar 2024 · Coroner Simon Fox · Avon
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The coroner's concerns

  1. 1. respiratory effort misinterpreted as release of air

    “Staff repeatedly ascribed the respiratory effort to”

Responses

2024-0147-Response-from-South-Western-Ambulance-Service.pdf ↗

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error