Susan Young
9 Feb 2024 · Coroner Penelope Schofield · West Sussex, Brighton and Hove
The coroner's concerns
1. missed opportunity to treat Co-codamol toxicity
“The possible toxicity from the Co-codamol tablets was not a considered by the ambulance crew who attended to Mrs [name redacted] following a 999 call”
2. missed opportunity to administer Naloxone
“evidence was heard from the expert at the Inquest that if the toxicity had been recognised earlier and Naloxodone administered there was a good chance that Mrs [name redacted] would have survived”
3. lack of GP record access
“The Ambulance Service was not aware that Mrs [name redacted] had recently been prescribed Co-Codamol as the Ambulance service does not currently have access to GP records”