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Anthony Smith

7 Jun 2023 · Coroner Nicholas Rheinberg · Lancashire and Blackburn with Darwen

This report repeats 1 earlier warning. See the linked reports.

The coroner's concerns

  1. 1. transmission of blood borne viruses during mouth to mouth resuscitation

    “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. Mr [name redacted] was a regular drug user who on occasions injected drugs. Performing mouth to mouth resuscitation carried with it the risk of transmission of blood born viruses with possible fatal consequences.”

Linked reports

Repeats an earlier warningChristopher Talbot29 Nov 2017 · 5 years 6 months earlier
Closely relatedConfidence 0.90 · high

Earlier report

“(2) A Senior Officer gave mouth to mouth resuscitation to Mr [name redacted] without the use of a guard.”
Original on judiciary.uk ↗

This report

“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.”
Full chain: Absence of breathing guard during mouth to mouth resuscitation

Responses

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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

Anthony Smith · Recurance