Recurance · prevention of future deaths reports
Pre-inquest brief
Absence of breathing guard during mouth to mouth resuscitation
The earlier warning
Christopher Talbot · 29 Nov 2017 · Nicholas Rheinberg, Preston and West Lancashire
“(2) A Senior Officer gave mouth to mouth resuscitation to Mr [name redacted] without the use of a guard.”
What was promised
No published response from His Majesty's Prison and Probation Service was found for the earlier reports.
What recurred
- 7 Jun 2023 · Anthony Smith · Nicholas Rheinberg · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Christopher Talbot · 29 Nov 2017
“(2) A Senior Officer gave mouth to mouth resuscitation to Mr [name redacted] without the use of a guard.”
Later · Anthony Smith · 7 Jun 2023
“An officer attempting resuscitation carried out mouth to mouth resuscitation without the safeguard of mouth protection which was not available in the prison at the time.”
What happened next
No web check of the stated actions has been published for this chain.