Stacey Yean, 23, died of an unascertained cause after presenting with violent vomiting on 5 January 2016. Her family believed that if paramedics had transported her to hospital, she would have survived. The coroner examined whether the ambulance paramedics' decision not to transport her was clinically inappropriate. The coroner found the paramedics' assessment complied with clinical guidelines; vital signs were normal, and expert evidence confirmed that even with additional symptoms (sweating, thirst, dehydration), transportation would not have been mandated under the guidelines. The offer of transport was made but declined by the patient, influenced partly by the prospect of ED waiting time. As the cause of death remains unascertained, no causal link can be established between the paramedics' management and the death. The coroner found no basis for adverse findings against paramedics or Ambulance Victoria.
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Ambulance Victoria should review and improve the methodology for obtaining statements from attending paramedics whose professional performance is subject to criticism, moving away from the process used in this case which resulted in word-for-word identical paragraphs in separate paramedic statements.
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