Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of staff training in cardiac arrest recognition and first aid
The earlier warning
Anthony McCormack · 4 Sept 2017 · Fiona Borrill, Manchester (City)
“The adequacy of the training of Emirates staff in respect of the recognition of possible cardiac arrest and signs thereof including agonal breathing and the administration of appropriate first aid/prompt CPR”
What was promised
Stated action 1 · response to Anthony McCormack (4 Sept 2017) · stated timescale: none stated
“I am advised that work is underway to increase the training of the Fire Service to Extended Community First Responder levels.”
judiciary.uk/…/2017-0241-Response-by-Department-of-Health.pdf
What recurred
- 16 Apr 2025 · Adam Ankers · Valerie Charbit · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Anthony McCormack · 4 Sept 2017
“The adequacy of the training of Emirates staff in respect of the recognition of possible cardiac arrest and signs thereof including agonal breathing and the administration of appropriate first aid/prompt CPR”
Later · Adam Ankers · 16 Apr 2025
“That there is difficulty in lay people (trained or not) including ambulance call handlers in understanding the signs of agonal breathing or cardiac arrest”
What happened next
No evidence found either way · stated action 1
“21ST CENTURY Fire and Rescue Service Leaders at the Core of Better Communities ® Fire and Emergency Services Thank you to the entire Subject Matter Expert group and the CPSE and ICMA staff that brought their experience, insight, and dedication to the development of this white paper.”
21st-Century-Fire-and-Emergency-Services-White-Paper- ... · cpse.org/…/21st-Century-Fire-and-Emergency-Services-White-Paper…
“The International Association of Fire Chiefs (IAFC) restates and reaffirms existing resolutions and announces its position in support of fire-based emergency medical services (EMS).”
Position · iafc.org/…/iafc-position-fire-based-emergency-medical-services
No evidence found does not mean the action did not happen.