Andrew Gambles

As a registered Paramedic, your fitness to practise is impaired by reason of misconduct. In that:

1. On 23 December 2020, when attending a call to Patient A, you did not provide
   adequate treatment in that:

a. You did not maintain continuous cardiopulmonary resuscitation
b. You did not recognise and/or act on the fact that an Oropharyngeal airway, bag valve mask and oxygen was initially being used rather than an i-gel airway appropriate for unconscious/ apnoeic/cardiac arrest cases.
c. You did not continuously monitor and/or record monitoring of Patient A’s End-tidal CO2
d. You did not follow the correct process for Recognition of Life Extinct (ROLE), in that:

i. You did not ensure that Patient A received at least 20 minutes of continuous Advanced Life Support (ALS) treatment
ii. ROLE was implemented when Patient A was not in asystole for 30 seconds and/or Patient A was not in asystole persistently and consistently.

2. In respect of particular 1:

a. you did not inform and/or ensure that Police were informed of Patient A’s sudden death.
b. You did not assist in the completion of the Patient Care Record, which was incomplete and contained incorrect information.

3. The matters set out in particulars 1 and 2 above constitute misconduct.

4. By reason of your misconduct your fitness to practise is impaired.