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recurance

Barbara Turner

28 Oct 2016 · Coroner Robert Hunter · Derby and Derbyshire

The coroner's concerns

  1. 1. inadequate call-out criteria for adult resuscitation team

    “The Trust Policy and Protocol for Resuscitation states at Appendix 3 that the call out criteria for the Adult Resucitation Team is : All Cardiac Arrests All Respiratory arrests Any Unresponsive patient or visitor with Heart rate > 150 Heart rate < 40 Respiratory rate >40 Respiratory rate < 8 Systolic BP < 80 mmHg Oxygen Saturations < 90%”
  2. 2. unsafe patient transport without adequate monitoring and emergency support

    “The method by which Mrs [name redacted] was conveyed to the CT Scanner and back to the ward was described by the ITU consultant, who gave evidence, as 'dangerous.' He stated that at the very least Mrs [name redacted] should have been escorted by an anaesthetist and ODA, with appropriate vital signs monitoring and resuscitation equipment and drugs to deal with any medical emergency en route and equipment and drugs to protect and manage her airway.”

Responses

No published response was found on judiciary.uk.

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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.

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