Deceased
Harry Joseph Evans
Demographics
23y, male
Date of death
2018-10-04
Finding date
2020-01-03
Cause of death
sea snake bite with neurotoxic venom causing neuromuscular paralysis and respiratory failure
AI-generated summary
Harry Evans, a 23-year-old deckhand from England, died from neurotoxic sea snake envenomation while working on a prawn trawler in the Gulf of Carpentaria. Bitten on the finger at 8:20am, he developed progressive neuromuscular paralysis and respiratory failure within 2 hours 20 minutes. Despite heroic remote rescue efforts and CPR for 4 hours, he could not be revived. The coroner found critical safety system deficiencies: inadequate induction and training about sea snake dangers, failure to mandate puncture-resistant gloves, lack of hazard policies, and incomplete safety management documentation. The coroner concluded these breaches had causal relevance to the bite, as proper awareness and PPE might have prompted visual net inspection and glove use. Remote location precluded effective first aid; only airway management with mechanical ventilation could have saved him. The employer subsequently implemented improvements, but the regulatory authority's initial response was inadequate.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Error types
Clinical conditions
Procedures
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