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Coroner Criticizes Ambulance Victoria Over Seven-Hour Delay in Caffeine Overdose Death

It reveals that Ambulance Victoria has implemented new triage procedures following the coroner’s finding that delays linked to hospital ramping were unacceptable.

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Overview

  • Christina Lackmann, 32, made a triple-zero call at 7:49 pm on April 21, 2021, reporting dizziness and numbness, but paramedics did not reach her Caulfield North apartment until shortly before 3 am the next day.
  • Coroner Catherine Fitzgerald ruled that the seven-hour wait for an ambulance was “unacceptable” and concluded that earlier treatment might have saved the biomedical science student’s life.
  • At the time of the call, 80 per cent of Melbourne’s metro ambulances were delayed by hospital ramping and her case was classified as a non-urgent Code 3, preventing transfer to a health practitioner.
  • Ambulance Victoria has since conducted an internal review and introduced revised triage protocols aimed at improving emergency response times and easing hospital ramping.
  • Emergency medicine experts and toxicologists have noted that caffeine overdoses are largely preventable when clinicians promptly identify and treat the ingestion.