Mr Christensen: stab wound to the chest. Mr Davy: blood loss caused by stab wounds of the chest.
AI-generated summary
Two men died following stab wounds sustained while forcing entry to a dwelling in the early hours of 1 October 2018. The deceased had been misled about the circumstances of an injured woman they believed needed urgent assistance. Upon entry, the homeowner used a knife in self-defence. The coroner found critical failures in police and ambulance response: the initial incident was incorrectly coded as non-urgent (Code 3 rather than Code 2), and responding police officers delayed their response to attend other matters, prioritizing a bail affidavit signing over this emergency. Had police or paramedics arrived 20 minutes earlier, the stabbings would likely have been prevented. The coroner also criticized the dismissive attitude of a police communications operator who doubted callers' accounts during the escalating crisis.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
stab wounds to chest with pericardial and cardiac damagehemorrhagic shockhemopericardiumpneumothoraxproximal humerus fracture (Candice Locke)
Contributing factors
Misrepresentation of circumstances leading deceased to believe urgent intervention needed
Failure to code initial incident as Code 2 (urgent) despite indicators present
Police prioritization of bail affidavit over emergency response
Delayed police response from Ayr Station
Dismissive attitude of police communications operator towards callers
Delay in creating second incident (191) in police system
Additional delay in returning to station for accoutrements before attending scene
Inadequate internal review by Ethical Standards Command
Coroner's recommendations
Consideration should be given by QPS to amending the Operations Procedure Manual to remove ambiguity regarding the requirement for officers to wear accoutrements whilst performing policing duties, including when called in on overtime.
Ongoing and further education should be provided to police officers, particularly those working in communications centres, regarding the roles and responsibilities of Queensland Ambulance Service and other agencies operating on the ICEMS shared platform, and how they interact with law enforcement.
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