# data[].attributes.body
Make sure you get the tip in the right hole or,, you may well get the wrong hole and a right bollocking for it.

# data[].attributes.body
Where there's blame, there's a claim.

# data[].attributes.body
Negligent: There was a lack of training from the service but there was omission from the Para for not taking into account their own training and not considering the other risks of intubation involved

# data[].attributes.body
Not enough training - negligence

# data[].attributes.body
Doctrine of double effect- good intentions to intubate but poorly executed and failure to accurately confirm et tube placement
Incompetence of second paramedic as well confirming that the et tube was in place. Poor standard of care.

# data[].attributes.body
Clinical negligence due to paramedic not doing though check after atteplting to intubate. ETco2 was not regulated along with frequent retraining of entubating Doctrine of double effect.

# data[].attributes.body
Negligent: There was a lack of training however there was omission from the Para who should've known about their own abilities,skill and the risks of intubating which weren't taken into account when considering potential harm

# data[].attributes.body
The paramedics did what they thought was right and even in the ambulance another paramedic also confirmed that the tube was in. So the paramedic would not have known otherwise

# data[].attributes.body
Negligent. There was no need to use ET intubation and the paramedic should have worked up the airway ladder, starting with OPA

# data[].attributes.body
Intentions were good, with a bad outcome.
It was the fault of medical director for not refreshing the paramedics knowledge in this area.

# data[].attributes.body
Intentions were good, went straight for ET rather than worked up airway ladder and situation was time critical. Para was unaware of the end tidal co2 as the info wasn’t passed along

# data[].attributes.body
Emotive situation involving colleague.
Honorable intensions.
Negligent on crews behalf to auscultate/confirm tube placement.
Trust failure to provide crew with accurate equipment ETCO2 to confirm tracheal placement - system failure.

# data[].attributes.body
Negligent: not enough trainning or the supporting equipment so therfore should not have used it.

# data[].attributes.body
Paramedic was not negligent because update training wasn’t given, it wasn’t mandatory for end tidal Co2 monitor to be used and they weren’t distributed to all crews in the service to use anyway. Although other steps for airway management could have been taken before intubation that may have been effective if attempted.

# data[].attributes.body
Not neglect, lack of training and competence. Was checked by other crew.
? Low competentance intubation, ? bad training refreshers by service, ? Did they consistently recheck ABC’s. ? Other airway ladder before intubation, ?service didn’t introduce ETCO2 as mandatory practice is arrests.

# data[].attributes.body
Perrons- good intention with bad outcome.

# data[].attributes.body
Negligent

# data[].attributes.body
Negligence - Should have gone in after a second call was made. No harm in taking a patient in that feels like they need to go in especially if they are actually unwell

# data[].attributes.body
Directors fault, training hadn’t been updated. Intentions were good.

# data[].attributes.body
I think this was a case of doctrine of double effect. The paramedics intention were good but resulted in a bad outcome. However Some negligence lies with the medical director for not making sure staff on the front line was using end tidal c02 during intubation if it was so proved that using this is a more efficient and safer way to treat. I also believe mandatory courses/practice sessions should be given for such skill possible once a year so paramedics are more compitent carrying out such skills.

# data[].attributes.headline
Perrons, not negligent due to lack of training and equipment. Slightly concerned that there was a ten minute response time

# data[].attributes.subject
Perrons, not negligent due to lack of training and equipment. Slightly concerned that there was a ten minute response time

# data[].attributes.body
Negligence - resp rate of 36 considered normal? Already had one crew out and Out of hours told them to call 999 because they needed to go to hospital. Obvious slurred speech as suggested by call handler and friend yet no FAST test or AVVV considered. End result is food poisoning plainly because of vomiting.

# data[].attributes.body
It was negligence as the paramedic received insufficient training prior to intubation first patient so was not competent enough to use the equipment. Even when the paramedic intubated they failed to realise the fact they had intubated in to the oesophagus and not into the trachea. The paramedic made no effort to try other airway techniques first that he was more competent with.

# data[].attributes.body
- not negligent due to aspirin isn’t indicated for a stroke as it’s not possible to distinguish if it is a haemorrhagic or not. DOC established- foreseeable harm, relationship established and reasonable to impose DOC. Breach not present as acted with pre hospital guidelines.

# data[].attributes.body
Negligence claim. Pt was not examined thoroughly and symptoms of stroke were missed. He was clearly AVVV positive and needed medical attention quickly.

# data[].attributes.body
employer negligence - the employer did not make the co2 monitor mandatory despite JRCALC published guidelines 2 years prior. The paramedic had experience, and training to perform the procedure but no visual recorded evidence that the intubation was successful. in addition he did not take any other airway measures prior to intubating which could have prevented any of these events.

# data[].attributes.body
Negligence, did not act within resources. No evidence of neurological assessment by any crew damage is reasonably foreseeable.

# data[].attributes.headline
Perrons both para and trust negligence. 

# data[].attributes.subject
Perrons both para and trust negligence. 

# data[].attributes.body
Intubation contributed to death.

Good intention bad out come.

Paras not given the correct training but they responsibility to ensure that tube as correctly placed and responsibility to ensure on going competency and updating of best practice re co2 monitoring.

# data[].attributes.body
Bad decisions although didn't intend to harm the
patient