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recurance

Mitica Marin

12 Mar 2020 · Coroner Graeme Irvine · London East

The coroner's concerns

  1. 1. delayed defibrillation

    “The LAS serious incident investigation identified a 4-minute delay between LP15 defibrillator pads being placed on Mr [name redacted] chest and the administration of the first shock. During this period Mr [name redacted] heart was in a shockable rhythm.”

Responses

2020-0066-Response-from-Association-of-Ambulance-Redacted.pdf ↗· Department of Health and Social Care

Stated action · June 2019

“we issued our revised guidance to the UK ambulance services in June 2019”

2020-0066-Response-from-London-Ambulance-Service-NHS-Trust-Redacted.pdf ↗· London Ambulance Service

Stated action · 28 October 2019

“the LAS has produced clinical update material to mandate that on all cardiac arrests the LP15 defibrillator should initially be placed in AED mode.”
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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