Wallace Edgar Bryers, aged 61, died from anaphylaxis following a bee sting while participating in beekeeping activities at Isis Farm on 5 January 2018. The coroner found Bryers was a worker under the Work Health and Safety Act (WHS), not merely an observer as claimed by the business. Though appropriate protective equipment was provided initially, critical failures occurred: removal of protective gear near active hives, absence of EpiPens in first aid kits, and inadequate training on maintaining protective equipment in hazardous areas. Medical evidence indicates adrenaline administration within 30 minutes of anaphylaxis significantly improves survival. The coroner noted that had an EpiPen been available and administered promptly, Bryers' survival chances would have increased substantially. WorkSafe subsequently required improvements including EpiPen availability and first aid training, all now implemented.
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Specialties
emergency medicineoccupational and environmental healthpathologyparamedicine
Error types
proceduralsystem
Drugs involved
adrenaline/epinephrine
Clinical conditions
anaphylaxisbee stinganaphylactic reaction to venom
Contributing factors
Removal of protective equipment in vicinity of active beehives
Absence of EpiPens in workplace first aid kits
Insufficient training on maintaining protective equipment in hazardous areas
Delay in availability of adrenaline administration
No documented medical assessment of bee venom allergy risk despite previous sting exposure
Coroner's recommendations
Those who conduct apiary business must, at a minimum: enquire if individuals have known allergy to bee venom; provide appropriate safety equipment and protective clothing; provide appropriate training including instruction not to remove protective equipment in vicinity of hives or bees; have individuals on site appropriately qualified in first aid; ensure appropriate first aid kits are available containing EpiPens; and train employees in the administration of EpiPens
Individuals who have care and control of live beehives on a smaller scale or as a hobby should consider being trained in first aid and in particular the administration of EpiPens
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