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Case Number: 2022/163555
Date of Findings: 17 October 2024
Magistrate: Teresa O'Sullivan
CORONIAL LAW - Death as a result of a police operation; 23(1)(c) and 27(1)(b) of the Coroners Act 2009; diagnosis of drug-induced psychosis; diagnosis of substance abuse disorder; methylamphetamine; adequacy of mental health care and treatment; appropriateness of discharge plan; community treatment order; nature and adequacy of community mental health follow up; whether actions of NSW Police were reasonable and appropriate; motorway; use of oleoresin capscium spray; police restraint; first aid by police; adequacy of NSW Police first aid training; non-provision of cardiopulmonary resuscitation (CPR).
| Recommendations to | Response |
|---|---|
| Commissioner of the NSW Police Force | Received (PDF, 359.5 KB) |
To the Commissioner of the NSW Police Force
1. That CPR/First Aid Tactical Emergency Casualty Care (TECC) PowerPoint presentation dated 2018-2019 be reviewed and updated to include the matters raised in Recommendation 3 from the inquest into the death of Omar Mohammad, with an emphasis being given to starting CPR in cases of a person who is unresponsive/unconscious and is not breathing normally.
2. That the annual mandatory CPR training be conducted in a venue with access to equipment allowing the playing of the PowerPoint presentation and any training videos (including videos which demonstrate what agonal breathing is).
3. That the CPR training materials and competency assessment (including the model and delivery) be reviewed by an independent external first aid expert to ensure compliance with the Australian Resuscitation Council (ARC) Guidelines relating to the delivery of CPR with a particular focus on the recognition of when CPR should be initiated.
4. That the CPR training materials be reviewed and updated annually to ensure the informaiton provided to police officers is up to date.
5. That scenario based training be rolled out in relation to the identification of abnormal/agonal breathing.
6. Consideration be given by NSWPF to consider updates required to the content of NSWPF training PowerPoints (such as Professor Holdgate's opinion that there should be a low threshold for commencing CPR; ensuring content is in line with the ARC's guidelines including not putting a casualty in the recovery position if they are not breathing.
16 Apr 2025