Trevor Smith
17 Nov 2021 · Coroner Louise Hunt · Birmingham and Solihull
The coroner's concerns
1. information not cascaded to officers
“Before firearms officers deployed to Mr [name redacted] address a MARAC (Multi Agency Risk Assessment Conference) meeting took place on 12/03/19 when agencies shared information about the alleged victim of domestic violence and the alleged suspect Mr [name redacted].”
2. confusion about CPR procedures
“officers appeared confused about the need for rescue breaths to be given to Mr [name redacted] during resuscitation”
3. lack of designated CPR coordinator
“appointing one person to coordinate the resuscitation (if there are sufficient personnel) would have been of benefit”