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Found 10 results

  1. Advanced Directives

    This is a scenario from an Ambulance forum and thought it was worthy of discussion here. Scenario is you attend an address where you're met with a person who's takes an OD but is conscious. They hand you an Advanced Directive that appears genuine which states the person refuses any and all medical treatment. Paramedics turn out and whilst discussions are on going the person falls unconscious and medics refuse to step in and start treatment. What do you do? A medic involved in a similar incident was threatened with arrest under the Suivide Act by a Sgt at the scene.
  2. It was just after 8am on 6 November 2014 when Faiza Hassan Ahmed knocked on her neighbour’s door. Violet Nantayiro did not know her, but Faiza was obviously distressed. She let her in and tried to comfort her. Faiza said a man had attempted to rape her, and asked Nantayiro if she would ring the police on her behalf. http://www.theguardian.com/uk-news/2016/feb/06/faiza-ahmed-cries-for-help-missed-every-authority-simon-hattenstone?CMP=fb_gu Interesting article about the failings of London Ambulance Service, the Metropolitan Police and Department of Work and Pensions (not my criticism, this was the conclusion from the coroner), but also a 'there but the grace of god go I' type of cautionary tale - I'm sure we have all attended jobs which haven't quite got to the tipping point to the next level of action or we've done the opposite and gone above and beyond 'just in case'. Again, cross agency communication seems to be an issue, but then the HRA Article 8 also plays a part. "You do not have to make a decision, but it may harm your defence if you do not have a crystal ball with you when questioned about something you later rely on in court. Anything you decide may be given in evidence..."
  3. Two bodies discovered at property in WorcesterThe bodies of a man and a woman have been discovered by officers at a property in Worcester... https://www.westmercia.police.uk/article/13296/Two-bodies-discovered-at-property-in-Worcester
  4. My first response blog

    Rank:SC Length of Service: 2 Months Planned Hours:1400x2300 Type of Shift:Response (IRT) 1400: Arrive in breifing to have a superintendant drop by, brieifing complete, and he begins to discuss force model and any questions we may have. 14:30 inspector comes in to tell us we have a few calls waiting, we all grab our vehicles and sgt reads out who we're paired with. I'm working with someone i've never worked with before (I'm yet to ever work with the same person twice :P) Lovely guy and excellent to work with :P, We're in the new van! We head out, ours was a non-urgent call to someone reportedly assaulted and was with the ambulance service, we had not received any more info than possible assault but not confirmed by crew in attendance. 14:50 Arrive on scene to find no injured party or ambulance. Member of the public approaches us and tells us that they were taken away around 10 minutes ago, update comms and they tell us they're at the hospital. We go off to the hopital and speak to the person (15:10) Injury appeared old and not recent, and they were unsure of how it had happened, given advice of how to proceed if they remember any details of the incident. Resume patrol around area. 16:15 still on patrol around in our area, Get called to a house where the delivery person had found the door open, they shouted upstairs but no reply. We get cancelled en-route as the family had been contacted and they were found, resume patrol 16:00 attempt to do some paper work in a local nick, login to the computers to get called to a Domestic that happened over half an hour ago, over an hour away in rush hour... Begin the long journey non-blues. The IP had left the property and was no longer a threat. 16:45 Stood down as unit from another station were in attendance. 17:30 back at the nick again trying to do paperwork, login and straight out as we're called up again. Misper reporting wanting to commit suicide, En-route we're updated family were picking him up, all safe and well, stood down around the corner to return to duties. 18:00 attempt to go back to the nick... Get around the corner and we're called to someone who was on the phone to the 999 operator saying they wanted to end their life and they were in the process of self harming. All times after this are approx as i lost track of time My first call to a self harmer/attempted suicide, so im going in clueless on this one. At the same time calls went up for a suicide in the next town over, we were not resourced for this. 18:30 Arrive en scene to knock at the door, no answer. We open the front door and find the person laying on the sofa right infront of the door with a knife to their throat. My collegue immediately draws his Taser and has a good shot on the person. After what felt like a lifetime of trying to talk to the suspect, put the knife down we're here to talk and help ect, they attempted to put the knife into their throat, then realised it was a taser and put the knife down. The first thing they said was 'you're really cute', Weird i know, they didn't say it in a sexual way so i wasn't offended Me and my collegue get talking to the person( me and my collegue share the same first name, always a good ice breaker ) while talking to the male it appears there are many more issues than first appear. Family and mental health issues as well as PTSD from serving in the forces (I've been attracting these jobs lately). They were continually making threats towards themselves/others, We talk/walk around for a good two hours before the ambulance shows up. They becomes abit agitated at times and said he had been drinking/taken a small overdose. 20:30 Ambulance arrive and do basic Obs, ECG shows minor abnormalitiy, after much convincing and an 'agreement' between my collegue and the person we got him to the ambulance, and that was still a struggle. My collegue was excellent with them, while he would happily talk with me and we had a laugh at times he could talk to him much more 21:00 arrive at the hospital and they do their thing, we stay with him talking to them, turns out the person and collegue were both knew people in the town where they were from so we had a good laugh/talk with him, but he was still getting iritated at times. 21:15 Minor set back and the person kicked off, attempting to leave, S136'd and we remain with them to make sure they stay for treatment. Didn't have any problems after this as we were all happy talking, things got a little heated once when talking about what had happened to them, but in the end a night shift came over to cover us, hand shakes done and goodbyes said we go on our way 22:30 Crew turn up to releive us, Refs time 23:00 arrive at nick to do crime reports from earlier and finish up some paper work 00:15 finally go home for my dinner Apologises if this is terrible, there are a few details i missed out purposely in an attempt to keep everyone anonamous as you do. If i've revealed too much do edit/delete my post as approrpiate. And it's my first shift blog so go easy on me"
  5. There is no comparison of elsewhere and I have no idea what classified something as a "ligature incident" so this could be alarmingly high or it could be a media "shocking statistics say" headline.
  6. The man was pronounced dead on Saturday afternoon Police have condemned onlookers who shouted "jump" and filmed a distressed man officers were trying to talk down from a tall building. One witness said she was "sickened" by the scene in Telford, Shropshire.   West Mercia Police said it was "pretty appalling" as the man was "clearly in need of support and assistance". The man fell and was pronounced dead at about 15:40 GMT on Saturday. Police warned they could take action against anyone sharing the footage.   'Dispose of material'   The force said officers had been called at 13:10 GMT following concerns for a man's safety.   It was almost like a form of entertainment for them... kids were screaming, running to the other side to see if they could get a better view” Chloe Jones Witness   Det Sgt Mark O'Connor said: "We do not condone such behaviour, and would hope that the local community would work with our officers to provide information regarding those who committed the cruel taunts.   "This was clearly someone who was in need of support." He said police were subsequently made aware of members of the public posting some negative comments about the incident on social media.   "In response to the activity on social media, the origin of any comments or material that is deemed to be unlawful will be investigated and appropriate police action will be taken against any identified individual," he said. "I would urge that any person who is in possession of any related material does not publish it any further and ensures it is disposed of." 'Just so sad'   Witness Chloe Jones said about 20 people, mainly teenagers, but "some grown men", were filming the incident unfold. "As we walked past, there were some youths shouting 'Go on, do it - jump'," she said. "It made me feel quite sick, actually, and then a lot of them were filming it, but to see some grown men filming it... "I just said to them 'What on earth are you going to do with that footage? Are you going to home and watch it if that poor man jumps?'" She said she was shocked at how people could not see "the obvious state" the man was in. "It was almost like a form of entertainment for them... kids were screaming, running to the other side to see if they could get a better view," she said. "It was just so sad."   The man has yet to be formally identified and the police investigation has now been referred to the coroner, Det Sgt O'Connor said.   http://www.bbc.co.uk/news/uk-england-shropshire-31903327   Never understood why some people see this kind of thing as entertainment, twisted or what.
  7. Stripping a distressed and and vulnerable 14-year-old girl of her clothes upon arrival at a police station may not be the best way to cope with the risk of suicide, the appeal court has warned. But the three judges unanimously found that Merseyside police officers did not breach the teenager’s rights to privacy and acted “reasonably and proportionately in the urgency of the situation with which they were confronted”. The ruling comes after claims that more and more forces are strip-searching children not to look for hidden evidence but to ensure they do not attempt to self-harm or hang themselves while in police custody. Campaign groups say that officers do not take into account the trauma inflicted on young people in the process. The case was brought on behalf of the child, identified only as PD. She had been arrested in 2010 for being drunk and disorderly outside a kebab shop after drinking a large quantity of vodka. The girl had a history of mental health problems. Her parents were not informed, before her clothes were removed, that she had been detained overnight. Three female officers carried out the strip-search. She was put into a gown. Her pants were removed, supposedly because it was feared she could use the elastic to hang herself. CCTV from the cell later showed her ripping her hair out and banging her head against the wall – evidence, it is said, that she felt degraded. The judges, Lord Justice Pitchford, Lord Justice Lewison and Lord Justice Fulford, said: “Children in custody are vulnerable and ... special care is required to protect their interests and well being. [We] express concern that it should have been thought appropriate immediately to remove the clothes of a distressed and vulnerable 14-year-old girl without thought for alternative and less invasive measures to protect her from herself.” But the judges added: “The Police and Criminal Evidence Act (Pace), provided [police] with the power to seize the claimant’s clothing in very limited circumstances, one of which was to prevent the claimant from harming herself. “There is no issue between the parties that this was the legitimate reason for the admitted interference with the claimant’s article 8 right [under the European convention on human rights] to respect for her private life; nor is there any challenge to the [original trial] judge’s finding that the action taken was an urgent necessity.” The officers had therefore not acted disproportionately and the claim failed. In the course of the judgment, however, the judges found that safeguards set out in Pace do apply even to cases where removal of clothes is for the purpose of ensuring a suspect’s safety. The appeal court added: “Except in cases of urgency, where there is a risk of harm to the detainee or to others, an appropriate adult [or parent] must be present (unless the detainee wishes the appropriate adult not to be present).” Two campaign groups, the Children’s Rights Alliance for England (Crae) and Just for Kids Law, intervened. Strip-searching of children doubled between 2008 and 2013, according to Crae. The youngest suspect was 12. In 45% of cases, no parent or appropriate adult were present when the child had some or all of their clothing removed. Paola Uccellari, director of Crae, said: “Being stripped by someone in a position of power is inevitably a traumatic and distressing experience for a child. “This measure must only be used as a last resort. If it’s being used as a matter of routine, or unnecessarily, it would breach a child’s human rights. Over-reliance on this practice needs to be looked at as a matter of urgency.” Shauneen Lambe, director of Just for Kids Law, said: “We were alarmed that a police force took the position that when a child is being stripped for their own protection, rather than looking for contraband, the same safeguarding protections did not apply and welcome this clarification from the court of appeal that they do. Along with Crae we have asked the government to undertake a review of why there appears to be such an increase in children being stripped by the police.” View the full article
  8. Self Harm / Attempt Suicide

    Spin off from the discussion in Scenarios section. Is it an offence to self harm? IE cut your wrists. Is it an offence to attempt suicide? IE take a massive overdoes of prescription drugs.
  9. Kesia Leatherbarrow (Photo: Handout) The police’s treatment of a vulnerable 17-year-old girl, who committed suicide in northwest England after being detained in police custody for an entire weekend, will face official state scrutiny Monday. An inquest into Keisa Leatherbarrow’s death is expected to highlight concerns over Greater Manchester Police officers’ handling of people who suffer from mental health issues. In the case of Leatherbarrow, the young woman had a history of self-harm. The teenager's inquest began at a coroner’s court in south Manchester on Monday. The coroner presiding over the case is Joanna Kearsley. It is expected to last five weeks. Martina Brincat Baines, Keisa’s mother, said the family was devastated by the 17-year-old’s death. “We hope that the inquest will provide some answers to allow us to come to terms with this terrible tragedy,” she said. Leatherbarrow hung herself in December 2013. In an effort to make her way into a residential care home for recovering addicts to visit her friend after hours, she had broken a window. When police officers were alerted, they arrived on the scene and arrested the teenager. They found a small amount of cannabis in her possession at the time. The 17-year-old subsequently spent three days and two nights in police custody. While in the cell, she was highly emotionally distressed, repeatedly banged her head against the wall and made numerous suicide threats. Nevertheless, she remained incarcerated. While Leatherbarrow was allegedly visited in custody by nurses, no official assessment of her mental state was carried out. Despite showing signs of extreme stress, she did not see an appropriate adult for more than 16 hours. Police officers also failed to contact health professionals, social services or her mother during this period. Several hours after being released, Keisa hanged herself in a friend’s garden. History of mental health issues Prior to her arrest, Leatherbarrow had spent five weeks in a mental health ward for adolescents because her mental health had shown signs of deterioration, and her self-harming had aroused concern. She had also been arrested in October 2013 by Lancashire Police for breaching the peace, following threats of self-harm and suicide. On this particular occasion, Leatherbarrow was released after being detained in a police cell for a night. She later fled her family home after threatening to commit suicide. The police were subsequently called, and Leatherbarrow was taken away from a motorway bridge by officers. Inquest, a UK-based charity that supports bereaved family members and relatives in the run-up to and after coroners’ hearings, expressed strong concern over Leatherbarrow’s case. The charity’s co-director, Deborah Coles, stressed that Leatherbarrow was vulnerable, and “should never have been locked up.” “Inquest is sadly working on far too many cases involving deaths of children and young people with mental health problems where the very systems that should be in place to protect them have failed,” she said. “This inquest must ensure the most robust scrutiny of all those with responsibility for Kesia’s treatment and care to expose any failings and ensure that no other family has to lose a child in these disturbing circumstances.” Institutional failures The Leatherbarrow family have expressed hope that Keisa’s inquest will directly address serious issues regarding the way in which Greater Manchester Police handled the young woman while she was kept in their custody. The family also hopes the inquest will examine whether police took the appropriate measures to safeguard the teenager from the risk she posed to herself. Figures released by the Independent Police Complaints Commission (IPCC) have revealed that almost 50 percent of deaths related to police custody in 2011-12 involved vulnerable people suffering from mental health issues. Some 39 people overall are thought to have committed suicide following police custody in 2011-12. This figure rose dramatically last year, however, climbing to 64. A further 15 people died while in police custody in 2012-13. Leatherbarrow’s death has prompted ministers to introduce a legislative change, which will mean young people under the age of 18 can no longer be detained in police stations overnight. Late last year, however, it emerged many vulnerable British children are finding themselves locked up in prisons rather than receiving required medical help, as hospitals and medical centers lack the resources to treat them. Of approximately 23,000 incidents involving vulnerable individuals in 2012-13, one in four were sent to prison cells. More than 200 children in total were taken into police custody, despite recommendations that the measures should only be used in exceptional circumstances. View the article source

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