Themes | Emergency Services & Preparedness | The Accountability Index

Emergency responder equipment training

Lack of adequate training for emergency responders on the circumstances and importance of using issued recording equipment.

252 items 15 sources 13 inquiries

Strongest theme matches

Mixed across source types and ranked by classifier confidence plus text match strength.

Indicative ranking
Inquiry recommendation
99match
MAI-154 - Training on use of recording equipment
Manchester Arena Inquiry
The Home Office, the College of Policing, the National Ambulance Resilience Unit and the Fire Service College should ensure that training is given to all who are issued with such equipment, on the circumstances in which it should be used and the importance of its use
Matched on terms: equipment, training
PFD report
89match
Jack Riding
Nov 2018 · Liverpool & Wirral
There were significant delays in defibrillator deployment and ambulance access due to equipment placement, lack of staff direction, and insufficient emergency training, coupled with inadequate medical emergency risk assessments.
Matched on terms: emergency, equipment, training
Inquiry recommendation
86match
MAI-165 - Ten Second Triage training for frontline staff
Manchester Arena Inquiry
The team led by Philip Cowburn has devised a tool that is designed for use by a wide range of emergency responders in a mass casualty situation. It is known as Ten Second Triage. The National Ambulance Resilience Unit, the College of Policing and the Fire Service College should consider as a matter of urgency whether all of...
Matched on terms: emergency, responder, training
PFD report
81match
Millie Elizabeth Thompson
Dec 2013 · Manchester (South)
Nursery staff lacked sufficient and updated paediatric first aid training. Ambulance call-takers misinterpreted breathing, causing incorrect triage, and emergency vehicles were inadequately equipped with paediatric life-saving kits.
Matched on terms: emergency, training
Inquiry recommendation
78match
LADB-88 - Ensure unrestricted availability of all standard emergency equipment on passenger trains.
Ladbroke Grove Inquiry
The availability on trains carrying passengers of the items of emergency equipment mentioned in the standard on emergency and safety equipment should be unrestricted (para 14.74).
Matched on terms: emergency, equipment
PFD report
77match
Paul Rogerson
Jan 2014 · York
River safety equipment is inadequate, poorly maintained, and lacks proper warning signs. Gaps exist in police river rescue training, inter-agency communication, and hypothermia first aid, compounded by insufficient equipment checks.
Matched on terms: equipment, training
PFD report
77match
Desiree Falvo
Apr 2014 · London Inner (West)
A&E departments lack sufficient clinicians skilled in emergency surgical tracheotomy, indicating inadequate training and cover for critical airway management procedures.
Matched on terms: emergency, training
PFD report
73match
Jessica Ashton-Pyatt
Aug 2013 · South Lincolnshire
The emergency response was uncoordinated, lacked consultant leadership, and critical equipment like the defibrillator was uncharged with missing pads, compromising immediate patient care.
Matched on terms: emergency, equipment
PFD report
73match
Barry James Lewis
Nov 2013 · Manchester North
Critical deficiencies exist in the emergency department, including inadequate availability and consistency of emergency airway equipment, insufficient backup instruments, poor out-of-hours theatre access, and inadequate night staffing.
Matched on terms: emergency, equipment
PFD report
73match
Anthony Offord
Sep 2014 · South Yorkshire (West)
Emergency medical dispatch staff lacked training on respiratory distress signs. Protocols were absent for ambulance crew "stand-offs," considering alternative support, or managing ambulance availability during meal breaks.
Matched on terms: emergency, training
PFD report
73match
Carl Thompson
Apr 2016 · West Yorkshire (West)
Life-saving equipment used by lifeguards was defective or missing, including a defibrillator without batteries, causing significant resuscitation delays. There were also concerns about lifeguard training and information provided to holidaymakers.
Matched on terms: equipment, training
PFD report
73match
Doreen Mattinson
Apr 2016 · London Inner North
Oxygen was incorrectly administered at a care home, with staff failing to recognise appropriate emergency oxygen levels and positioning. The clinical manager, a registered nurse, lacked training in oxygen administration.
Matched on terms: emergency, training
PFD report
73match
Suleyman Yalcin
Nov 2018 · London (North)
Insufficient refresher training in emergency response driving, police under-resourcing, and inadequate terminology for communicating urgency posed risks during critical incidents.
Matched on terms: emergency, training
Inquiry recommendation
70match
MAI-153 - Use recording equipment during exercises
Manchester Arena Inquiry
The Home Office, the College of Policing, the National Ambulance Resilience Unit and the Fire Service College should ensure that, in the course of exercises, such equipment is used by those who would use it in the circumstances of a real-life incident.
Matched on terms: equipment
PFD report
69match
Barbara Harrison
Jul 2015 · Manchester (South)
Inappropriate physiotherapy contributed to surgical complications, and critical equipment failed during emergency surgery due to flat batteries, leading to a 'panic situation'. Family members were also distressed by public disclosure of a cardiac arrest.
Matched on terms: emergency, equipment
PFD report
69match
Christopher Sears
May 2016 · Surrey
Bus drivers transporting students are not required to have Basic Life Support training or emergency protocols, and BLS is not routinely taught in secondary education.
Matched on terms: emergency, training
PFD report
69match
Stephen Hunt
Jun 2016 · Manchester (City)
Fire and Rescue Services lacked adequate measures for managing heat stress in hot environments, had poor communication protocols, and insufficient training/SOPs for incident role handover, hazard recording, and thermal imaging camera use.
Matched on terms: training
PFD report
69match
Christopher Moss
Feb 2019 · Staffordshire South
Concerns exist regarding the availability of appropriate equipment, specifically a hooligan bar, for dealing with cell door barricade incidents in prisons, potentially delaying emergency access to inmates.
Matched on terms: emergency, equipment
Inquiry recommendation
69match
SP8 - Ambulance staff training exercise funding
Southport Inquiry
NHS England should review funding, and consider providing additional resources, to enable all emergency response ambulance staff to participate in appropriate training exercises.
Matched on terms: emergency, training
Scottish FAI
69match
Kevin Michael McGurty
Dec 2016
I recommend that Police Scotland and NHS Scotland reconsider their policies in this area. There should if possible be a uniform policy across Scotland, but consideration should be given to equipping all custody stations with AEDs and training officers to make as certain as possible that all officers faced with a situation of a sudden collapse are clearly...
Matched on terms: emergency, training
Inquiry recommendation
66match
JB-15.17 - Police medic training on catastrophic haemorrhage
Jermaine Baker Inquiry
Police medic training should emphasise that, in cases of catastrophic external torso haemorrhage, the immediate action is to apply direct pressure and then progress directly to using haemostatic gauze. Chest seals should only be used where there is no evidence of ongoing catastrophic haemorrhage.
Matched on terms: training
PFD report
65match
Derek Brierley
Aug 2013 · Manchester North
The suprapubic procedure was performed by a consultant after a long hiatus with inadequate preparation, likely incorrect insertion, and a lack of Trust guidelines for competence and training.
Matched on terms: training
PFD report
65match
Philmore Mills
Mar 2016 · Berkshire
Police training for subjects with suspected excited delirium lacks instruction on containment tactics and fails to inform officers that restraint take-down procedures can carry a risk of death, only focusing on minor injuries.
Matched on terms: training
PFD report
65match
Wayne Rodgers
Mar 2019 · Isle of Wight
Ambulance services are overstretched, and major event safety planning is insufficient. Deficiencies include lack of on-site medical provision, inadequate crisis management, and unclear safety equipment requirements and racing abandonment criteria.
Matched on terms: equipment
CQC action
65match
The Queen Elizabeth Hospital
Should Do
The service should ensure emergency equipment is checked daily in line with their procedures.
Matched on terms: emergency, equipment
CQC action
65match
UHBW Bristol Campus
Must Do
The service must ensure staff complete daily checks of emergency equipment.
Matched on terms: emergency, equipment
CQC action
65match
Southmead Hospital
Should Do
The service should ensure all staff complete daily checks of emergency equipment.
Matched on terms: emergency, equipment
IOPC learning recommendation
65match
Road traffic collision shortly after police pursuit – Metropolitan Police Service, March 2021
The IOPC recommends the Metropolitan Police Service establish if car radios fitted in police response vehicle are fit for purpose, are in full working order and the audio function works appropriately. They should also reinforce to officers the necessity to ensure drivers check the car radios prior to their duty and report any defects through the necessary channels....
Matched on terms: emergency, equipment
Scottish FAI
65match
Craig Currie, William Carty, Stephen Carty and Thomas Douglas
Oct 2011
And further recommends (i) That a register of local assistance which excludes the ambulance service be made up by Strathclyde Police and circulated to the emergency services and that the register includes the names of persons and equipment available to be called upon in an emergency rescue situation. (ii) That in the event of an emergency involving Strathclyde...
Matched on terms: emergency, equipment
Inquiry recommendation
65match
LADB-41 - Utilise simulators for effective signaller training in emergency situations
Ladbroke Grove Inquiry
The use of simulators in providing fully effective training of signallers in dealing with emergencies is endorsed (para 12.15).
Matched on terms: emergency, training
Inquiry recommendation
62match
P1-26 - Equipment for BA communication in high-rise buildings
Grenfell Tower Inquiry
The LFB urgently take steps to obtain equipment that enables firefighters wearing helmets and breathing apparatus to communicate with the bridgehead effectively, including when operating in high-rise buildings.
Matched on terms: equipment
PFD report
61match
Caroline Pilkington
Mar 2014 · Manchester (West)
North West Ambulance Service staff lack control and restraint training, forcing reliance on police who are not clinically trained, leading to delayed patient care and inappropriate diversion of police resources.
Matched on terms: training
PFD report
61match
Stephen Bedford
Apr 2014 · Cambridgeshire (South & West)
Ambulance staff training and assessment for life support standards are inconsistent, leading to inappropriate crew deployment for critical patients and inadequate communication of crew capabilities.
Matched on terms: training
PFD report
61match
June Rose
Jun 2014 · London (West)
A lack of training on the correct dosage and morphine equivalent of fentanyl patches led to an erroneous prescription, contributing to the patient's death through respiratory depression.
Matched on terms: training
PFD report
61match
Hywel Hughes
Jul 2014 · North West Wales
Police training on positional asphyxia is inadequate, and vehicle designs hinder monitoring detainees. The SIA also fails to review restraint-related deaths by door supervisors.
Matched on terms: training
PFD report
61match
Eitvydas Zdanys
Feb 2016 · Bedfordshire and Luton
Police officers responding to a road traffic incident lacked basic life support training, rendering them unable to assess or resuscitate a seriously injured motorcyclist.
Matched on terms: training
PFD report
61match
Sydney Neil
Jul 2016 · Birmingham and Solihull
After a patient collapsed in a GP surgery, there was inadequate ventilation, no suction, and no oxygen provided for 8 minutes, raising concerns about resuscitation expertise and equipment in GP practices.
Matched on terms: equipment
PFD report
61match
Ajvir Sandhu
Dec 2016 · North Yorkshire (East)
Safety concerns include the lack of mandatory parachutes with static lines in certain aircraft and insufficient mandatory spin recovery training on specific light aircraft types for pilots.
Matched on terms: training
PFD report
61match
Darren Powney
Nov 2017 · Sunderland
Emergency ambulance staff showed confusion and lack of awareness regarding critical dynamic risk assessment protocols, including a 2016 policy. There was no bespoke policy for a frequent caller, and escalation procedures for confusion were insufficiently rapid.
Matched on terms: emergency
PFD report
61match
Jeremy Sutch
Feb 2019 · Suffolk
Medical evacuation was severely delayed by crew unfamiliarity with a wheelchair extraction stretcher, its incompatibility with ship equipment, and lack of evacuation drills, posing a risk for future survivable injuries.
Matched on terms: equipment
HMICFRS recommendation
60match
FRS 2018-19 CoC Recommendations: London Fire Brigade
Recommendation
Cause of concern: The Brigade has a significant backlog of training for staff in risk-critical skills such as incident command and emergency fire engine driving. Some staff haven’t had continuing training in these skills for many years. There is no individual re-assessment of competence for incident command. It should act immediately to address this. Recommendation: By 28 February...
Matched on terms: emergency, training
IOPC learning recommendation
60match
Man died after an attempt to take his own life during a police response – South Wales Police,...
The IOPC recommends that all Police forces should consider equipping all operational police vehicles with some form of implement that would be capable of cutting a ligature of a width greater than a few millimetres. Training should also be given to officers in how and when to use such a piece of equipment. The item of equipment will...
Matched on terms: equipment, training
PPO recommendation
60match
The Head of Healthcare
The Head of Healthcare should ensure that all healthcare staff understand their role in an emergency response, including recognising and managing seizures or loss of consciousness in line with current clinical guidelines, and recording actions taken. A local protocol, in line with NICE Guidance should be developed and training provided to ensure staff at all levels understand what...
Matched on terms: emergency, training
PFD report
57match
Albert James Hand
Jan 2014 · Bedfordshire & Luton
The coroner reported concerns about a patient with a head injury waiting over an hour and a half for transport to hospital, insufficient ambulance crews in the Luton and Bedfordshire area, and protocols for dealing with emergency calls potentially putting patients at risk.
Matched on terms: emergency
PFD report
57match
Grant Benson and Gordon Davidson
Mar 2015 · County Durham & Darlington
Ambulance control failed to accurately locate a severe incident due to inaccurate GPS and a call handler's lack of local knowledge. Inadequate cross-boundary systems prevented effective call transfer or dispatch of a nearby ambulance, causing critical delays.
Matched on classifier match
PFD report
57match
Steven Jackson
Nov 2015 · Essex
A paramedic failed to effectively use the sepsis screening tool, indicating a need for better training for ambulance staff on its use and appropriate patient conveyance to hospital.
Matched on terms: training
PFD report
57match
Mia Gibson
May 2016 · Nottinghamshire
Over-reliance on maternal observations in obstetric emergencies overlooked fetal risk, and ambulance dispatch suffered from poor meal break management and resource shortages. This led to critical delays in emergency response and hospital transfer.
Matched on terms: emergency
PFD report
57match
Rex Hall
Nov 2016 · Birmingham and Solihull
Paramedic foundation training was deficient in ECG interpretation and recognising atypical myocardial infarction symptoms, leading to missed diagnoses of serious cardiac conditions.
Matched on terms: training
PFD report
57match
Najeeb Katende
Apr 2017 · London Inner (North)
There were failures to actively cross-check for shockable rhythms and to routinely use defibrillators in AED mode during cardiac arrest incidents, highlighting a need for improved staff training.
Matched on terms: training
PFD report
57match
Russell Sherwood
Jun 2017 · South Wales Central
The Fire Service departed a dangerous flood scene without closing the road or leaving warning signs, as their protocols and equipment do not permit road closures, relying solely on other authorities.
Matched on terms: equipment
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