Coroner: What would you have done? AD: It’s a fast time inquiry, I’d have dropped what I was doing to address this. You use the decision making model, consider threat, harm and risk…. I read the information in this incident log and made some decisions

Coroner: What would you have done? AD: It’s a fast time inquiry, I’d have dropped what I was doing to address this. You use the decision making model, consider threat, harm and risk…. I read the information in this incident log and made some decisions