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recurance

Trevor Smith

17 Nov 2021 · Coroner Louise Hunt · Birmingham and Solihull

The coroner's concerns

  1. 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. 2. confusion about CPR procedures

    “officers appeared confused about the need for rescue breaths to be given to Mr [name redacted] during resuscitation”
  3. 3. lack of designated CPR coordinator

    “appointing one person to coordinate the resuscitation (if there are sufficient personnel) would have been of benefit”

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.

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