Overview

• Dawn Sturgess died after being exposed to Novichok, misdiagnosed initially as an opiate overdose by paramedics.
• An antidote for nerve agent poisoning was available but not used due to the misdiagnosis by emergency responders.
• Conflicting assessments between paramedics and police led to delays in recognizing the true nature of the poisoning.
• A previous incident involving Sergei Skripal was similarly misdiagnosed, though he survived due to an accidental administration of the correct antidote.
• The inquiry highlights a lack of communication and preparedness among emergency services following the Salisbury attack.