Samuel Boon

1. 1. insufficient information for informed participation

   “The school, parents and children were not given sufficient and accurate information to allow them to make informed choices about participation and preparation for the trip. Differences in ambulance and medical facilities in Morocco were not fully explained.”

2. 2. inadequate risk assessment

   “Risk assessments did not include the risks associated with insufficient fitness and preparation, acclimatisation, and evacuation in the event of a medical emergency.”

3. 3. preventable life-threatening conditions

   “Exertional heatstroke and (dependent upon the cause) hyponatremia, are preventable but life-threatening conditions, requiring urgent and appropriate evacuation to advanced medical facilities. In an environment such as the foothills of the Atlas Mountains, the focus is likely be on prevention, because it is clear that urgent evacuation is not usually possible.”

4. 4. insufficient training on heatstroke and hyponatremia

   “Expedition and school leaders were not given sufficient information and training as to the dangers of heatstroke and hyponatremia, how to recognise the risk of occurrence in a given individual, how to recognise the symptoms and how to manage them if they occurred.”

5. 5. inadequate evacuation procedures

   “Procedures and facilities for urgent evacuation were not fully and formally assessed, tested and audited. Arrangements were reliant upon local agencies individuals and facilities which had not been subjected to adequate checking and scrutiny.”

No published response was found on judiciary.uk.