Coroner's Finding: Mansell-Moore, Codie

17y · Male·epileptic seizure complicating idiopathic epilepsy

17-year-old Codie Mansell-Moore died from epileptic seizures on 10 December 2018. An ambulance was called at 6:09am while he was seizing, but paramedics staged around the corner and did not enter his home for 48 minutes due to a safety alert for Codie's father (Ronald Moore), who had previously displayed aggressive behavior. The paramedics waited for police assistance as per protocol. By the time they entered at 6:57am, Codie was in cardiac arrest and deceased. Critical clinical lessons include: medication adherence is essential in epilepsy management; delayed seizure treatment increases mortality risk; family training in emergency medication (midazolam) administration may help but cannot be assumed; communication failures between ambulance dispatch and police meant information that the father was absent was not passed to police, preventing reassessment of the two-officer response policy. If paramedics had entered earlier or midazolam been administered at home, survival was likely.