“Although the SCAS staff participating in the PARAMEDIC 2 Trial had been instructed as to…”

The coroner’s concerns

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Although the SCAS staff participating in the PARAMEDIC 2 Trial had been instructed as to the classes of patients to be excluded in the trial and information was provided inside the trial drug packet about the exclusions, they overlooked that pregnant women were expressly excluded and the exclusion warning inside the packet was also overlooked. If the exclusions had been prominently listed on the outside of the packet, this oversight might have been avoided. | was also told in evidence that Warwick Medical School (which is responsible for the PARAMEDIC 2 trial) had given the participating ambulance services no guidance on how the exclusions were to be highlighted to trial participants and that this had been left to the ambulance services themselves. | am concerned that exclusions should be prominently highlighted on the outside of the trial drug packet. As there are only four categories of exclusion, this should be easily achievable.

An extract. Read the full report, including the circumstances of the death, on the Courts and Tribunals Judiciary website.

Source

judiciary.uk, Prevention of Future Deaths reports, 2016-0316

Added to Minute Book

8 Oct 2026

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Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0